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Choledocholithiasis in Pregnancy: A Case Report

Fidel S Rampersad1, Adrian Chan1, Shirvanie Persaud2

  • 1Department of Radiology, The University of the West Indies, St. Augustine, TTO.

Cureus
|April 4, 2022
PubMed

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.

Keywords:
choledocholithiasisendoscopic retrograde cholangiopancreatography (ercp)gallstones in pregnancymagnetic resonance cholangiopancreatography (mrcp)symptomatic choledocholithiaisis

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