Mirizzi syndrome: History, current knowledge and proposal of a simplified classification

Figure 4 This illustration by Behrend clearly depicts Mirizzi syndrome type V according to Csendes. The continuous inflammatory process affecting the gallbladder has obliterated the cystic duct, and the gallstones compressed inside the gallbladder, have produced pressure ulcers over the gallbladder walls eroding into the bile duct and the duodenum (original drawing from Annals of Surgery 1950; 132, page 300)[20].