Acute cholecystitis in pregnancy: a case report

Bordo, Zanis; Berzina, Arta; Miskova, Anna; Zeiza, K.

doi:10.18203/2320-1770.ijrcog20213870

Int J Reprod Contracept Obstet Gynecol

2021

DOI: 10.18203/2320-1770.ijrcog20213870

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Acute cholecystitis in pregnancy: a case report

Zanis Bordo

Arta Berzina

Anna Miskova

et al.

Abstract: We presented here a case report of a 37-years-old woman, G3 37+5 weeks pregnant with acute abdominal pain, whose diagnosis is unclear, but there are signs of liver disfunction, and for this reason a C-section is performed. She is later diagnosed with acute cholecystitis and therefore a cholecystectomy is performed.

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2023

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Acute cholecystitis in pregnant women: A therapeutic challenge in a developing country center

Mahjoubi,

Dhaou,

Maatouk

et al. 2023

Ann Hepatobiliary Pancreat Surg

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Acute cholecystitis is a rare condition in pregnant women, potentially affecting the maternal and fetal prognosis. Our aim was to report the main clinical and paraclinical features of acute cholecystitis during pregnancy and therapeutic modalities. Methods: We conducted a case series analysis recording pregnant patients with acute cholecystitis admitted to our surgery department over a period of 11 years. We collected clinical data, paraclinical features, and management modalities related to cholecystitis. Results: There were 47 patients. Twenty-eight percent was in the first trimester of pregnancy, 40% in the second, and 32% in the third trimester. Abdominal pain was located in the right hypochondrium in 75% of cases. Fever was noted in 21% of cases. C-reactive protein was elevated in 39% of patients. Cholestasis markers were high in four patients. Abdominal ultrasound showed a distended gallbladder in 39 patients, with thickened wall in 34 patients, and gallbladder lithiasis in all cases. No patient had a dilated main bile duct. All patients received intravenous antibiotic therapy. Tocolysis was indicated in 32 patients. Laparoscopic cholecystectomy was performed in 32 cases (68%), and open cholecystectomy in 15 cases (32%). Postoperative course was uneventful in 42 patients, and complicated in 5 patients. Rate of complications was statistically higher after open cholecystectomy (p = 0.003). Morbidity rate was higher in the third trimester (p = 0.003). Conclusions: Delay in the diagnosis of acute cholecystitis during pregnancy can lead to serious complications. Management is based on antibiotic therapy and cholecystectomy. Laparoscopic cholecystectomy appears to be less morbid than open cholecystectomy.

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Acute cholecystitis in pregnant women: A therapeutic challenge in a developing country center

Mahjoubi,

Dhaou,

Maatouk

et al. 2023

Ann Hepatobiliary Pancreat Surg

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Acute cholecystitis in pregnancy: a case report

Cited by 1 publication

References 3 publications

Acute cholecystitis in pregnant women: A therapeutic challenge in a developing country center

Acute cholecystitis in pregnant women: A therapeutic challenge in a developing country center

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