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Features of Type III Mirizzi Syndrome on EUS, ERCP, and Laparoscopy A 64-year-old man presented with biliary-type pain and jaundice. Serum bilirubin was elevated at 15 mg/dL. EUS revealed two small stones in the CBD, along with a large gallstone impacted in the gallbladder neck, causing compression and fistulization into CHD. The video demonstrates the EUS features of CHD wall disruption caused by the impacted gallbladder stone. ERCP was performed, and the CBD stones were removed. The cholangiographic image in the video illustrates the fistulized gallbladder stone within the CHD. A plastic biliary stent was placed preoperatively to relieve jaundice and protect CBD and CHD during cholecystectomy. Failure to recognize the fistula preoperatively poses a significant risk of CBD/CHD injury during surgery. The presence of the stent facilitates intraoperative identification of the CHD and allows for repair of the CHD defect without the need for T-tube insertion. Special thanks to my colleague, Dr. Hamid Reza Zamani, who performed the surgery and provided the laparoscopic images.