Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-78c5997874-lj6df Total loading time: 0 Render date: 2024-11-10T09:47:30.005Z Has data issue: false hasContentIssue false

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
Get access

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

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

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

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×