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[Cholelithiasis during pregnancy and postpartum: prevalence, presentation and consequences in a Referral Hospital in
Andrea Socorro Álvarez-Villaseñor1,2, Héctor Luis Mascareño-Franco3, José Juan Agundez-Meza2
1Coordinación Auxiliar Médica de Investigación en Salud, IMSS, Guadalajara, Jal., México.
Introduction:
Pregnancy and the postpartum period are risk factors for developing biliary sludge, gallstones, and any of their complications.
Objective:
To determine the prevalence, presentation, and consequences of cholestasis during pregnancy and postpartum in a referral hospital of Baja California Sur.
Material And Methods:
This was a retrospective, observational study that enrolled pregnant or postpartum patients diagnosed with gallstones with any presentation.
Results:
137 patients were included, with 22 ± 4 years of age; 33 were pregnant and 104 in the postpartum period. Only 14% of the group had a history of cholelithiasis, and overweight/obesity was observed in 66.7 and 66.3% of pregnant and postpartum patients, respectively (p = 0.94). Of pregnant patients, 33.3% presented with acute cholecystitis, a condition observed in 16.3% of the postpartum patients (p = 0.04). Pancreatitis and choledocholithiasis were slightly more common in pregnant women (21.23% vs. 19.2%; p = 0.56). There was no maternal mortality and one case of spontaneous abortion was exclusively observed.
Conclusions:
It is a priority to diagnose and monitor cholelithiasis in pregnant women because the acute cases observed occurred more frequently, but choledocholithiasis and pancreatitis occurred similarly in both groups.
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