Rare coincidence of an intrahepatic gallbladder causing Mirizzi's syndrome.

We report a case of a woman in her early 60s who presented with obstructive jaundice and radiological evidence of a totally intrahepatic gallbladder and concurrent type I Mirizzi's syndrome. In this report, we discuss the importance of preoperative work up to exclude malignancy and aid operative planning, as well as our surgical technique used to manage this rare case. We advocate for preoperative endoscopic biliary decompression and laparoscopic subtotal cholecystectomy to reduce the morbidity associated with open cholecystectomy in an intrahepatic gallbladder.