The results and reliability of ERCP due to choledocholithiasis at pregnancy: a case report and literature review.

Yorgunlar, Betül; Özdemir, Suna; Uyan, Derya; Tamer, Lebriz Hale Aktün

Objective: Pregnancy is an important risk factor for growth of choledochal stones. Since choledocholithiasis encountered during pregnancy, which is also a possible cause of pancreatitis and cholangitis, may be the reason for serious morbidity and mortality both for the mother and the fetus, it should be treated. In this article, the results and reliability of endoscopic retrograde cholangiopancreatography (ERCP) application on a pregnant woman to whom ERPC is applied because of choledocholithiasis are presented. Case: Patient who was 21 years old, giving two living births of three gravidas, applied in her 21 weeks of gestation with the complaints of nausea, vomiting and backache. After examinations, she was diagnosed as choledocholithiasis. The ERCP applied patient has delivered a healthy baby at term following a pregnancy with no problems. Conclusion: ERCP is the first procedure that will be preferred in the treatment of choledocholithiasis in pregnancy with the right indications provided that proper precautions have been taken. Possible harmful effects of ionized radiation on fetus during fluoroscopy should be minimalized by giving in short periods and low doses.

ENDOSCOPIC retrograde cholangiopancreatography; GALLSTONE diagnosis; TREATMENT of pregnancy complications; PANCREATITIS; CHOLANGITIS; INFANT death; PRENATAL care

Perinatal Journal / Perinatoloji Dergisi, 2014, Vol 22, Issue 3, p174

1300-5251

Academic Journal

10.2399/prn.14.0223008