Choledocholithiasis in Pregnancy: A Case Report.

Autor: Rampersad FS; Department of Radiology, The University of the West Indies, St. Augustine, TTO., Chan A; Department of Radiology, The University of the West Indies, St. Augustine, TTO., Persaud S; Department of Surgery, Eric Williams Medical Sciences Complex (EWMSC), San Juan, TTO., Maharaj P; Department of Radiology, The University of the West Indies, St. Augustine, TTO., Maharaj R; Department of Surgical Sciences, The University of the West Indies, St. Augustine, TTO.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2022 Feb 25; Vol. 14 (2), pp. e22610. Date of Electronic Publication: 2022 Feb 25 (Print Publication: 2022).
DOI: 10.7759/cureus.22610
Abstrakt: Cholelithiasis during pregnancy and the postpartum period has an incidence of 12%, with pregnancy being an important risk factor for gallstones. Patients with choledocholithiasis can experience complications, such as obstructive jaundice, cholangitis, and pancreatitis, which may be detrimental to both mother and fetus. A case of cholelithiasis in a second-trimester pregnancy was complicated by choledocholithiasis and obstructive jaundice. Ultrasonography (US), magnetic resonance cholangiopancreatography (MRCP), along with serial blood tests, confirmed the diagnosis. Treatment was safely achieved using endoscopic retrograde cholangiopancreatography (ERCP). In pregnancy, complicated cholelithiasis is investigated using blood tests, ultrasonography, and cholangiography. Evidence supports the use of intraoperative or endoscopic cholangiography for the management of such complicated gallstone disease in pregnancy.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2022, Rampersad et al.)
Databáze: MEDLINE