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Abstract

Cystic duct calculus could either be due to the retained stone during the cholecystectomy or recurrence of stone in the actual remnant of the cystic duct and causes common duct obstruction by extrinsic compression - Mirizzi syndrome. We report a rare case of post cholecystectomy Mirizzi’s syndrome that developed one year after laparoscopic cholecystectomy and our case reminds usefulness of CT scanning, after already inconclusive ultrasound and invasive diagnostic modality ERCP. Stone removal was achieved successfully by traditional laparotomy after the CT scan.