Evidence map›Paper›PMID 34574001›Full record

ReviewDiagnostics (Basel, Switzerland)2021

The Current Approach to the Diagnosis and Classification of Mirizzi Syndrome.

Jakub Klekowski, Aleksandra Piekarska, Marta Góral, Marta Kozula, Mariusz Chabowski

Open access · goldAbstract readReview
In one paragraph

Review in Diagnostics (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
4.0field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 41 citations in OpenAlex.

  1. Article
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  6. A Case of Mirizzi Syndrome with Pancreatic Divisum:Sultan Qaboos University medical journal · 2025
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  15. Mirizzi Syndrome: An Unusual Complication of Cholelithiasis.Journal of community hospital internal medicine perspectives · 2022
    Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Jakub KlekowskiStudent Research Group No 180, Faculty of Medicine, Wroclaw Medical University, 50-367 Wrocław, Poland.ORCID 0000-0001-8017-9730
Aleksandra PiekarskaStudent Research Group No 180, Faculty of Medicine, Wroclaw Medical University, 50-367 Wrocław, Poland.
Marta GóralStudent Research Group No 180, Faculty of Medicine, Wroclaw Medical University, 50-367 Wrocław, Poland.
Marta KozulaStudent Research Group No 180, Faculty of Medicine, Wroclaw Medical University, 50-367 Wrocław, Poland.
Mariusz ChabowskiDivision of Oncology and Palliative Care, Department of Clinical Nursing, Faculty of Health Science, Wroclaw Medical University, 5 Bartla Street, 51-618 Wrocław, Poland.ORCID 0000-0002-9232-4525
Wroclaw Medical University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mirizzi syndrome occurs in up to 6% of patients with cholecystolithiasis. It is generally caused by external compression of the common hepatic duct by a gallstone impacted in the neck of the gallbladder or the cystic duct, which can lead to fistulisation. The aim of this review was to highlight the proposed classifications for Mirizzi syndrome (MS) and to provide an update on modern approaches to the diagnosis of this disease. We conducted research on various internet databases and the total number of records was 993, but after a gradual process of elimination our final review consisted of 21 articles. According to the literature, the Cesendes classification is the most commonly used, but many new suggestions have appeared. Our review shows that the ultrasonography (US) is the most frequently used method of initial diagnosis, despite still having only average sensitivity. Magnetic resonance cholangiopancreatography (MRCP) and endoscopic retrograde cholangiopancreatography (ERCP) are good methods and are similarly effective, but only the latter can be simultaneously therapeutic. Some modern methods show very high sensitivity, but are not so commonly administered. Mirizzi syndrome is still a diagnostic challenge, despite the advancement of the available tools. Preoperative diagnosis is crucial to avoid complications during treatment. New research may bring a unification of classifications and diagnostic algorithms.

Indexed as

cholecystobiliary fistulaclassificationcomputed tomography (CT)endoscopic retrograde cholangiopancreatography (ERCP)magnetic resonance cholangiopancreatography (MRCP)preoperative diagnosisultrasonography (US)

Identifiers

PMID34574001
PMCPMC8465817
OpenAlexW3200315652

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.