Successful Endoscopic Management of Residual Choledocolithiasis in Pregnancy: A Case Report

Abstract

The state of pregnancy generates a series of physiological changes that increase the risk of pathologies compared to non-pregnant women. At the level of the bile duct, bile salt stasis occurs, which increases the ability to generate stones. However, most patients are asymptomatic and respond adequately to expectant management and medical therapy. The rate of complications is low, with acute cholangitis, choledocholithiasis and acute pancreatitis being the indication for invasive management in obstetric patients. We present a clinical case of an obstetric patient with a history of cholecystectomy who presented residual choledocholithiasis with a subsequent episode of acute cholangitis and obstructive jaundice that required management with endoscopic retrograde cholangiopancreatography