February Case of the Month

Access case here.

Authors: Dmitriy Shnayderman, MD, PGY-2, Diagnostic Radiology Resident and Paul M. Knechtges, MD, associate professor of radiology, abdominal/body imaging, Department of Diagnostic Radiology, Medical College of Wisconsin, Milwaukee, Wis.

Why did you select this case for submission?

We chose this case because it beautifully demonstrates the frequently talked about and rarely seen condition, Mirizzi syndrome.

What should readers learn from this case?

Residents hopefully will learn the differential diagnosis for the biliary obstruction. Attendings will be introduced to a Csendes cholecystobiliary fistula classification, if they haven’t been already.

What did you learn from working on the case?

As a trainee, working on this case helped me become more familiar with Mirizzi syndrome, learn the important differential diagnoses, and discover that a fistula can be associated with this condition.

How did guidance from senior staff at your institution impact your learning and case development?

My senior staff was indispensable, helping me proofread the case, choose the perfect image slices for the submission, and assisting me with a better understanding of this diagnosis.

Why did you choose Case in Point for submission of your case?

I consider CiP a part of my daily morning routine for learning new and interesting cases. I’ve always wanted to be a part of it.

Are you a regular reader of Case in Point? What are your favorite types of cases?

Definitely, it’s how I start my day – a latte with my case of the day. I enjoy seeing rare cases and hope I will be able to recall them if I see them in the future.

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