Biliary Disease in Pregnancy: A Diagnostic Dilemma
Gallstone-related complications are relatively common during pregnancy, with reports of biliary sludge in 5-31% and cholelithiasis in 2-11% of expectant mothers (Maringhini et al. 1993). 1% of these women will develop complications secondary to cholelithiasis, which may lead to increased foetal and maternal morbidity and mortality (Ko et al. 2005). This case highlights the importance of considering a broad spectrum of hepatobiliary disorders during pregnancy, including choledocholithiasis and considering urgent ERCP as a safe option for those women with symptomatic complicated cholechodolithiasis.
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