Published Paper Details:

Mirizzi syndrome is an unusual presentation of gallstones occurring when a calculus gets impacted in either Hartmann's pouch of the gallbladder or the cystic duct and causes obstruction of the common hepatic duct by extrinsic compression. 1 The serious surgical complications such as bile duct injury encountered during laparoscopic cholecystectomy makes Mirizzi syndrome a potentially dangerous manifestation of impacted gall stones. The pathophysiology of Mirizzi syndrome involves extrinsic compression of the bile duct by pressure applied upon it indirectly by an impacted stone in the infundibulum or neck of the gallbladder. In turn, the resulting chronic inflammation and ulceration form varying degrees of cholecysto-biliary fistula. Furthermore, cholecysto-enteric fistula may also occur.2 Only 0.1% of patients with gallstones will develop this condition and women of reproductive age or on birth control estrogen medication have a 2-fold increase in gallstone formation compared to males.3 In Ayurveda, this symptomatology can be understood as an advanced stage of Kamala which is complicated by Pittashmari4. Here is a single case study of a 52-year-old female presented with right hypochondrial pain, jaundice and vomiting. The condition was symptomatically well managed by Shamana aushadhi mentioned in the context of Kamala, Medo roga and Ashmari.