Related Experiment Video
Updated: Jul 13, 2026
03:56
A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy
Published on: September 13, 2022
2.5K
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
Summary
Pregnancy increases gallstone risk, potentially causing serious complications. Endoscopic retrograde cholangiopancreatography (ERCP) safely treated a case of complicated gallstones during pregnancy.
Area of Science:
- Gastroenterology
- Obstetrics
- Medical Imaging
Background:
- Pregnancy is a significant risk factor for cholelithiasis (gallstones), with a 12% incidence during pregnancy and postpartum.
- Choledocholithiasis, or gallstones in the common bile duct, can lead to severe complications like obstructive jaundice, cholangitis, and pancreatitis, endangering both mother and fetus.
Observation:
- A case study involved a pregnant patient in her second trimester presenting with cholelithiasis complicated by choledocholithiasis and obstructive jaundice.
- Diagnostic workup included ultrasonography (US), magnetic resonance cholangiopancreatography (MRCP), and serial blood tests to confirm the diagnosis.
Findings:
- Endoscopic retrograde cholangiopancreatography (ERCP) was successfully and safely employed for the treatment of choledocholithiasis in this pregnant patient.
- The investigation of complicated cholelithiasis in pregnancy typically involves blood tests, ultrasonography, and cholangiography.
Implications:
- This case highlights the safety and efficacy of ERCP in managing complicated gallstone disease during pregnancy.
- Evidence supports the use of intraoperative or endoscopic cholangiography for effective management of gallstone complications in pregnant individuals.
Keywords:
choledocholithiasisendoscopic retrograde cholangiopancreatography (ercp)gallstones in pregnancymagnetic resonance cholangiopancreatography (mrcp)symptomatic choledocholithiaisisMore Related Videos
Related Concept Videos
01:28Urinary Tract Calculi I: Introduction
Renal calculi, or kidney stones, are solid deposits of minerals and salts formed inside the kidneys. In medical terminology, "calculus" refers to the stone itself, while "lithiasis" describes the process of stone formation. Depending on their location within the urinary system, these stones may be classified as either urolithiasis, when situated within the urinary tract, or nephrolithiasis, when located within the kidneys. Each term signifies the specific impact of the stone.Predisposition...
01:30Urinary Tract Calculi III: Medical Management
The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
01:27Urinary Tract Calculi IV: Nutrition Therapy and Prevention
Management of renal calculi focuses on effective strategies like tailored nutrition and hydration therapy. Adjusting diet and fluid intake reduces stone formation and recurrence, making these interventions simple yet powerful in kidney stone prevention and management.Understanding Kidney StonesKidney stones form when calcium, oxalate, uric acid, and cystine concentrate and crystallize in urine. Factors contributing to their formation include genetic predisposition, certain medical conditions,...
01:28Urinary Tract Calculi V: Nursing Management
AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
01:25Urinary Tract Calculi VI: Surgical Management
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
01:20Cholecystitis
Cholecystitis is inflammation of the gallbladder, most commonly caused by obstruction of the cystic duct. This blockage prevents bile from draining, leading to gallbladder distension, inflammation, and potentially serious complications. This condition may present acutely or chronically and can happen with or without gallstones.EtiologyAbout 95% of cholecystitis cases are calculous, caused by gallstones blocking the cystic duct, leading to bile accumulation and inflammation of the gallbladder...