Choledochal cyst during pregnancy. Report of 3 cases and a literature review

Martínez-Ordaz, José Luis; Morales-Camacho, Magdely Yazmin; Centellas-Hinojosa, Sócrates; Román-Ramírez, Eduardo; Romero-Hernández, Teodoro; Fuente-Lira, Mauricio de la

doi:10.1016/j.circen.2016.02.015

Cited by 2 publications

(1 citation statement)

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“…An even more unconventional presentation of this entity, which has been seldom described in the literature is during pregnancy, where symptoms may remain unapproached, masked by the physiological growth of the uterus until obvious signs of complicated disease arise 6. It is widely known that normal pregnancy induces several modifications to the liver and biliary function such as increased bile acid secretion , with a decreased ratio of chenodeoxycholic acid to cholic acid fostering the formation of sludge and biliary stones, decreased gallbladder emptying derived from increased progesterone levels and progressive compression of the intraperitoneal contents by the growing uterus.…”

Section: Introductionmentioning

confidence: 99%

Giant choledochal cyst presenting during third trimester of pregnancy

et al. 2018

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Biliary cystic disease is a rare entity. Twenty-five per cent of cases are diagnosed during adulthood and only a few reports have described this condition during pregnancy, where it represents a therapeutic challenge for both obstetricians and surgeons with regard to the risks it entails for the patient and the fetus.Definitive management is surgical resection, as cysts may progress to malignancy if untreated. During pregnancy, resection is generally deferred to after delivery, especially in the context of suspected cholangitis.A 19-year-old young woman with no previous prenatal control, presented to the emergency department on her 32nd week of gestation with abdominal pain and jaundice. A giant Todani I biliary cyst was observed on imaging along with dilation of the proximal biliary tree suggesting acute cholangitis. Fetal compromise prompted immediate delivery after which percutaneous biliary drainage was performed. Following recovery, the cyst was surgically resected.

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Section: Introductionmentioning

confidence: 99%