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Biliary Tract Emergencies

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Acute Abdomen During Pregnancy

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Abstract

The most common causes of gallbladder disease in pregnancy are gallstones and biliary sludge. In pregnancy, the incidence of gallbladder disease is 0.05–0.3%, and asymptomatic gallstones occur in 3.5–10% of all pregnancies. Acute cholecystitis during pregnancy is one of the most common nonobstetric operative conditions, and 40% of pregnant patients with symptomatic cholelithiasis require cholecystectomy during pregnancy. Natural history and clinical examination are similar to those in the nonpregnant population. Therapeutic options are medical, open surgical, and laparoscopic procedures. Laparoscopy is increasingly used. In the advanced third trimester, conservative treatment is recommended until delivery. 1/1200 pregnancies are complicated by common bile duct stones. Common bile duct stones have been observed in 10–12.5% of pregnant women undergoing cholecystectomy and account for 7% of cases of jaundice in pregnancy. Diagnostic workup and therapeutic management are complex and depend on the maternal status, severity of the disease, infection, duration of pregnancy, and status of the fetus. Choledochal cysts are extremely rare but rupture more frequently than in nonpregnant populations.

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  1. Department of Surgery, University Hospital Centre Zagreb, Zagreb, Croatia

    Goran Augustin

  2. School of Medicine, University of Zagreb, Zagreb, Croatia

    Goran Augustin

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Augustin, G. (2023). Biliary Tract Emergencies. In: Acute Abdomen During Pregnancy. Springer, Cham. https://doi.org/10.1007/978-3-031-26021-6_16

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