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Post-cesarean section laparoscopic cholecystectomy: a case report
Sarah Magdy Abdelmohsen1, Mohamed Mahmoud Zidan2, Sherif Salah Eldeen Fahmy3
1Department of Pediatric Surgery, Aswan University Hospital, Aswan University, Aswan City, Egypt. Sara.magdy@aswu.edu.eg.
BMC Pregnancy and Childbirth
|June 17, 2023
Summary
Simultaneous laparoscopic cholecystectomy and cesarean delivery is a safe and effective procedure for managing acute cholecystitis in pregnant patients. This combined approach offers significant benefits when performed by experienced surgical teams.
Area of Science:
- Gynecologic Surgery
- Minimally Invasive Surgery
- Gastrointestinal Surgery
Background:
- Laparoscopic cholecystectomy during cesarean section is an innovative surgical approach.
- This combined procedure is recognized for its safety, feasibility, and cost-effectiveness.
Observation:
- A 29-year-old woman with a history of two prior cesarean sections presented at 32 weeks gestation with an anencephalic fetus.
- The patient was diagnosed with acute cholecystitis.
- Laparoscopic cholecystectomy was performed concurrently with the termination of pregnancy via cesarean section.
Findings:
- The combined procedure of laparoscopic cholecystectomy immediately following cesarean section proved effective in managing acute cholecystitis.
- Successful outcomes are contingent upon the surgeon possessing high qualifications and extensive experience.
Implications:
- This approach offers a viable solution for pregnant patients requiring gallbladder removal during pregnancy.
- It highlights the potential for combining gynecologic and general surgery procedures for improved patient care.
- Further research may explore optimizing this technique for broader application.
