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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.

|April 4, 2022

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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.

Keywords:

choledocholithiasis endoscopic retrograde cholangiopancreatography (ercp)gallstones in pregnancy magnetic resonance cholangiopancreatography (mrcp)symptomatic choledocholithiaisis

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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.