Mirizzi’s syndrome (MS) caused by the retention of a stone in the cystic duct stump after cholecystectomy is rare. Most cases of MS are treated by surgical intervention. However, developments of endoscopic accessories and techniques have resulted in the recent introduction of endoscopic treatments for MS. Furthermore, in view of the postoperative morbidity caused by post-operative scarring, the endoscopic approach should be preferred to the surgical approach. In the described case, the authors were able to remove a remnant cystic duct stone endoscopically because the cystic duct stump was wide and non-tortuous. This case shows endoscopic retrograde cholangiopancreatography with mechanical lithotripsy can be utilized in suitable cases of type I MS development after cholecystectomy.

• 이정민(인하대학교 의학전문대학원 내과학교실) | Jeong Min Lee
• 박진석(인하대학교 의학전문대학원 내과학교실) | Jin-Seok Park
• 정 석(인하대학교 의학전문대학원 내과학교실) | Seok Jeong Corresponding author
• 이돈행(인하대학교 의학전문대학원 내과학교실) | Don Haeng Lee
• 최성환(인하대학교 의학전문대학원 내과학교실) | Seong Huan Choi
• 김신일(인하대학교 의학전문대학원 내과학교실) | Shin Il Kim
• 김민주(인하대학교 의학전문대학원 내과학교실) | Min Ju Kim
• 윤광석(인하대학교 의학전문대학원 내과학교실) | Gwang Seok Yoon