Managing choledocholithiasis in pregnancy: a novel approach

Area of Science:

• Gastroenterology and Hepatology
• Obstetrics and Gynecology
• Minimally Invasive Surgery

Background:

• Choledocholithiasis (gallstones in the bile duct) during pregnancy poses significant management challenges.
• Standard diagnostic and therapeutic procedures carry risks of fetal radiation exposure and maternal complications like pancreatitis.

Observation:

• A pregnant patient with choledocholithiasis required intervention.
• Conventional methods were deemed too risky due to potential fetal harm and maternal pancreatitis.

Findings:

• A trans-cystic stent was successfully placed under endoscopic guidance during laparoscopic cholecystectomy.
• This approach effectively managed the choledocholithiasis while circumventing the risks associated with traditional methods.

Implications:

• This technique offers a safer alternative for managing choledocholithiasis in pregnant patients.
• It highlights the potential of endoscopic interventions to minimize risks in obstetric patients.
• Further research may validate this approach for broader clinical application.