Emergency general surgery in pregnancy

Skubic, Jeffrey; Salim, Ali

doi:10.1136/tsaco-2017-000125

Cited by 20 publications

(17 citation statements)

References 90 publications

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“…Choledocholithiasis in pregnancy is uncommon and seen in approximately one in 1200 deliveries [ 1 ]. In one of the largest prospective studies, with more than 3200 pregnant patients who did not have gallstones on initial US examination, new sludge/stone was noted in 7.1%, 7.9%, and 10.2% of patients by the second trimester, third trimester, or four to six-week postpartum US, respectively [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

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Choledocholithiasis in Pregnancy: A Case Report

Rampersad¹,

Chan²,

Persaud³

et al. 2022

Cureus

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Cholelithiasis during pregnancy and the postpartum period has an incidence of 12%, with pregnancy being an important risk factor for gallstones. Patients with choledocholithiasis can experience complications, such as obstructive jaundice, cholangitis, and pancreatitis, which may be detrimental to both mother and fetus.A case of cholelithiasis in a second-trimester pregnancy was complicated by choledocholithiasis and obstructive jaundice. Ultrasonography (US), magnetic resonance cholangiopancreatography (MRCP), along with serial blood tests, confirmed the diagnosis. Treatment was safely achieved using endoscopic retrograde cholangiopancreatography (ERCP).In pregnancy, complicated cholelithiasis is investigated using blood tests, ultrasonography, and cholangiography. Evidence supports the use of intraoperative or endoscopic cholangiography for the management of such complicated gallstone disease in pregnancy.

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Section: Discussionmentioning

confidence: 99%

“…Choledocholithiasis in pregnancy is uncommon and seen in approximately one in 1200 deliveries [ 1 ]. One study showed new onset of gallbladder sludge/stone in 7.1%, 7.9%, and 10.2% of patients by the second trimester, third trimester, or postpartum period, respectively [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Choledocholithiasis in Pregnancy: A Case Report

Rampersad¹,

Chan²,

Persaud³

et al. 2022

Cureus

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“…7 Perforation rates in acute appendicitis are higher in pregnant women compared with the non-pregnant population possibly due to delay in diagnosis. 8 The risk of morbidity, preterm delivery and fetal loss increases with perforation. 9 A number of randomized trials have demonstrated the efficacy and safety of non-operative treatment with antibiotics alone for uncomplicated appendicitis in non-pregnant adults.…”

Section: Discussionmentioning

confidence: 99%

Acute gangrenous appendicitis and acute gangrenous cholecystitis in a pregnant patient, a difficult diagnosis: a case report

et al. 2021

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Abdominal pain is a common complaint in pregnancy, especially given the physiological and anatomical changes that occur as the pregnancy progresses. The diagnosis and treatment of common surgical pathologies can therefore be difficult and limited by the special considerations for the fetus. While uncommon in the general population, concurrent or subsequent disease processes should be considered in the pregnant patient. We present the case of a 36 year old, 13 weeks pregnant female who presented with both acute appendicitis and acute cholecystitis.

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“…The common nonobstetric abdominal surgical conditions encountered during pregnancy are acute appendicitis (1 in 1000–2000 deliveries), cholecystitis (1 in 1000 deliveries), pancreatitis (1 in 1000–5000 deliveries), and small-bowel obstruction (SBO). [ 1 ] SBO in pregnancy is rare (reported incidence 1 in 2,500 deliveries),[ 2 ] but it is associated with a significant risk of maternal (6%) and fetal (26%) mortality. [ 3 ] Most of the cases are thought to occur during the third trimester and are generally treated using open surgery;[ 4 ] few cases of SBO during pregnancy treated using laparoscopic surgery have been reported.…”

Section: Introductionmentioning

confidence: 99%

Successful laparoscopic treatment of small-bowel obstruction in early pregnancy

Kitai

Yamabe

Isobe

et al. 2020

Gynecol Minim Invasive Ther

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Small-bowel obstruction (SBO) during pregnancy is uncommon and can be difficult to diagnose. Therefore, the condition is associated with significant maternal and fetal mortality. We report a case of successful laparoscopic treatment of SBO in early pregnancy. A 37-year-old woman presented with diffuse abdominal pain and vomiting at 8 weeks of gestation. She had a history of abdominal surgery. Exploratory laparoscopy was performed by a gastrointestinal surgeon because SBO, and specifically strangulated ileus, was strongly suspected. On entry into the abdomen, dilated small bowel was visible in the pelvis; this was attached to the pelvic wall and twisted near the right adnexa. The small bowel initially appeared dark and congested, but after releasing the adhesions, it regained its normal color, was viable, and peristalsis was observed. Therefore, bowel resection was not required. No recurrence was observed after food ingestion, and the patient was discharged 12 days after surgery.

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Emergency general surgery in pregnancy

Cited by 20 publications

References 90 publications

Choledocholithiasis in Pregnancy: A Case Report

Choledocholithiasis in Pregnancy: A Case Report

Acute gangrenous appendicitis and acute gangrenous cholecystitis in a pregnant patient, a difficult diagnosis: a case report

Successful laparoscopic treatment of small-bowel obstruction in early pregnancy

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