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[Case report. Post cesarean section laparoscopic cholecystectomy for hydrocholecystitis].
Alejandro Weber Sánchez1, Carlos Quesnel García-Benítez, Carlos Bravo Torreblanca
1Departamento de Cirugía, Hospital Angeles Lomas, México, DF.
Ginecologia Y Obstetricia De Mexico
|October 5, 2011
Summary
Acute cholecystitis in pregnancy is safely managed with immediate Cesarean section followed by laparoscopic cholecystectomy. This combined approach offers benefits of minimally invasive surgery for pregnant patients.
Area of Science:
- Obstetrics and Gynecology
- Surgical Gastroenterology
Background:
- Acute cholecystitis is a common surgical emergency in pregnant women.
- Optimal timing for laparoscopic cholecystectomy during pregnancy remains debated.
Observation:
- A 33-year-old pregnant patient at 36.6 weeks presented with acute cholecystitis symptoms.
- Medical management failed to resolve symptoms, necessitating intervention.
Findings:
- A Cesarean section was performed, followed immediately by laparoscopic cholecystectomy.
- Both mother and newborn experienced favorable outcomes and were discharged on postpartum day four.
Implications:
- Laparoscopic cholecystectomy is feasible and safe during pregnancy and the immediate puerperium.
- Combining Cesarean section with laparoscopic surgery provides a minimally invasive option for managing acute cholecystitis in late-term pregnancy.
