Radiation-Free ERCP in Pregnancy: A “Sound” Approach to Leaving No Stone Unturned
Stanford Multidisciplinary Seminars
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Case Presentations and Evolution
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...
KeywordsBile 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.
Conflict of interest
- 11.Vohra S, Holt EW, Bhat YM, Kane S, Shah JN, Binmoeller KF. Successful single-session endosonography-based endoscopic retrograde cholangiopancreatography without fluoroscopy in pregnant patients with suspected choledocholithiasis: a case series. J Hepatobiliary Pancreat Sci. 2014;21:93–97.CrossRefPubMedGoogle Scholar
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