Mirizzi syndrome type Va: A rare coexistence of double cholecysto-biliary and cholecysto-enteric fistulae

Figure 1 Abdominal magnetic resonance imaging in a sagittal plane demonstrating two stones in common bile duct (arrow) with a diameter of 2. 2 cm and cystic duct, measuring 9 mm and 12 mm respectively, with dilatation of the proximal biliary tree.

Figure 2 Magnetic retrograde cholangio-pancreatography demonstrating stones in common bile duct and proximal dilatation of the biliary tree.

Figure 3 Endoscopic retrograde cholangio-pancreatography showing gradual resolve of dilated biliary tree (A) and indirect signs of Mirizzi syndrome (B and C) when the patient was placed in an anti-Trendelenburg position.