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Digestive Diseases and Sciences

, Volume 60, Issue 9, pp 2604–2607 | Cite as

Radiation-Free ERCP in Pregnancy: A “Sound” Approach to Leaving No Stone Unturned

  • Saurabh Sethi
  • Nirav Thosani
  • Subhas Banerjee
Stanford Multidisciplinary Seminars

Case Presentations and Evolution

Case 1

A 29-year-old 14-week pregnant woman was initially evaluated at an outside hospital with complaints of right upper quadrant pain, fever, and chills. There was no significant past medical history. Her vital signs were stable, and the clinical examination was significant only for right upper quadrant tenderness. Laboratory evaluation revealed a white cell count (WBC) 11.8 × 10 3/µL, total bilirubin (TB) 3 mg/dL, alanine transaminase (ALT) 86 U/L, aspartate transaminase (AST) 101 U/L, and alkaline phosphatase (AP) 104 U/L. A right upper quadrant ultrasound revealed gallstones, gallbladder wall thickening, peri-cholecystic fluid, and a dilated common bile duct (10 mm) without any evidence of bile duct stones. She underwent laparoscopic cholecystectomy for acute cholecystitis, with an intraoperative cholangiogram, bile duct exploration, and extraction of a bile duct stone. She was re-admitted 2 days later with abdominal pain and an increasing total...

Keywords

Bile Duct Cystic Duct Choledochal Cyst Bile Duct Stone Choledocholithiasis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Conflict of interest

None.

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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Saurabh Sethi
    • 1
    • 2
  • Nirav Thosani
    • 1
    • 2
  • Subhas Banerjee
    • 1
    • 2
  1. 1.Division of Gastroenterology and HepatologyStanford UniversityStanfordUSA
  2. 2.Palo AltoUSA

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