14 August 2022
: Case report 
Unusual Case of Mirizzi Syndrome Presenting as Painless Jaundice
Unusual clinical course, Challenging differential diagnosis
Justin Bauzon1ABCDEFG*, Sarah Haller1ABEF, Jose R. Aponte-Pieras2ABCDEF, Daisy Lankarani2BCDEF, Ariyon Schreiber
3ABEF, Nazanin Houshmand3ABEF, Shahid Wahid2ADEFG
DOI: 10.12659/AJCR.936836
Am J Case Rep 2022; 23:e936836
Table 1. Trends of inpatient laboratory studies throughout admission.
| Hospital day | Total bilirubin (mg/dL) | Direct bilirubin (mg/dL) | AST (IU/L) | ALT (U/L) | Alkaline phosphatase (U/L) |
|---|---|---|---|---|---|
| 0 | 22.2 | 16.5 | 85 | 184 | 433 |
| 1 (ERCP #1) | 26.1 | – | 71 | 156 | 438 |
| 2 | 25.7 | – | 52 | 119 | 383 |
| 3 | 16.5 | – | 39 | 84 | 295 |
| 4 (ERCP #2) | 15.0 | – | 45 | 90 | 306 |
| 5 | 14.7 | – | 47 | 83 | 306 |
| ALT – alanine aminotransferase; AST – aspartate aminotransferase; ERCP – endoscopic retrograde cholangiopancreatography. * All laboratory values exceeded institutional upper limits of normal. | |||||