[Ultrasound-controlled endoscopic papillotomy in pregnancy in severe biliary pancreatitis]

A 24-years-old woman at eleventh weeks gestation was admitted to our hospital with severe acute pancreatitis. Based upon a history of cholecystolithiasis, laboratory findings of cholestasis and a critical clinical course an ultrasound-guided endoscopic papillotomy was performed nine hours after admission. Sludge was removed from the common bile duct without fluoroscopic control. Following this procedure the patients condition improved continuously during typical conservative treatment of the acute pancreatitis. The laboratory findings returned to normal. An imminent abortion between the eighth and eleventh day of hospitalization could be avoided under conservative measures. Oral nutrition was resumed without complications, and the patient was discharged on the 15th day after admission being completely recovered. At 37th week's gestation she was delivered of a healthy girl.