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Chapter 44 - Biliary Diseases in Pregnancy

from Section 7 - Hepato-Renal and Gastrointestinal Conditions in Pregnancy

Published online by Cambridge University Press:  23 February 2023

By
Bruno De Souza Ribeiro ,
Amira El-Messidi  and
Maged Peter Ghali
Edited by
Amira El-Messidi  and
Alan D. Cameron
Amira El-Messidi
Affiliation:
McGill University, Montréal
Alan D. Cameron
Affiliation:
University of Glasgow
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Summary

A 34-year-old G3P2 at 20 weeks’ gestation presents to the A&E (E.R.) department of your tertiary care center with a three-hour history of nausea and vomiting associated with recurrent right upper quadrant pain, no longer alleviated by analgesics.

Keywords

Biliary disease, pregnancyCholelithiasisDifferential diagnosisClinical manifestationsPhysical examinationRisk factorsAntenatal managementPerinatal risks, complications, maternal-fetal morbidity, adverse outcomeInvestigations, interventions, diagnosis, endoscopic retrograde or magnetic resonance cholangiopancreatogram (ERCP, MRCP)Acute cholecystitisLaparoscopy, cholecystectomy, obstetric considerationsAcute pancreatitisSevere hypertriglyceridemia
Type
Chapter
Information
OSCEs in Obstetrics and Maternal-Fetal Medicine
An Evidence-Based Approach
 , pp. 563 - 572
Publisher: Cambridge University Press
Print publication year: 2023

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References

Suggested Readings

Brown, KE, Hirshberg, JS, Conner, SN. Gallbladder and biliary disease in pregnancy. Clin Obstet Gynecol. 2020;63(1):211–225.Google Scholar
Cain, MA, Ellis, J, Vengrove, MA, et al. Gallstone and severe hypertriglyceride-induced pancreatitis in pregnancy. Obstet Gynecol Surv. 2015;70(9):577–583.CrossRefGoogle ScholarPubMed
Date, RS, Kaushal, M, Ramesh, A. A review of the management of gallstone disease and its complications in pregnancy. Am J Surg. 2008;196(4):599–608.Google Scholar
Hedström, J, Nilsson, J, Andersson, R, et al. Changing management of gallstone-related disease in pregnancy – a retrospective cohort analysis. Scand J Gastroenterol. 2017;52(9):1016–1021.Google ScholarPubMed
Ibiebele, I, Schnitzler, M, Nippita, T, et al. Outcomes of gallstone disease during pregnancy: a population-based data linkage study. Paediatr Perinat Epidemiol. 2017;31(6):522–530.Google Scholar
Konduk, BT, Bayraktar, O. Efficacy and safety of endoscopic retrograde cholangiopancreatography in pregnancy: A high-volume study with long-term follow-up. Turk J Gastroenterol. 2019;30(9):811–816.CrossRefGoogle ScholarPubMed
Shah, JN, Bhat, YM, Hamerski, CM, et al. Feasibility of nonradiation EUS-based ERCP in patients with uncomplicated choledocholithiasis (with video). Gastrointest Endosc. 2016;84(5):764–769.CrossRefGoogle ScholarPubMed
Vohra, S, Holt, EW, Bhat, YM, et al. Successful single-session endosonography-based endoscopic retrograde cholangiopancreatography without fluoroscopy in pregnant patients with suspected choledocholithiasis: a case series. J Hepatobiliary Pancreat Sci. 2014;21(2):93–97.CrossRefGoogle ScholarPubMed

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