Identifying the Mirizzi’s syndrome intraoperatively by “tree trunk shaking metaphor” during laparoscopic cholecystectomy for acute cholecystitis

Dear Editor-in-Chief,

Early cholecystectomy is recommended in the management of acute cholecystitis. Laparoscopic cholecystectomy is the gold standard method. However, in emergency surgery,  bile duct injury is one of the most common complications. Although numerous surgical techniques have been described for safe cholecystectomy, the most important issue is to identify cases that may lead to complications during the intraoperative period and apply the appropriate bail-out strategy (1).