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Medline ® Abstract for Reference 52

of 'Gallstones in pregnancy'

Laparoscopic common bile duct exploration in pregnancy with acute gallstone pancreatitis.
Kim YW, Zagorski SM, Chung MH
JSLS. 2006 Jan;10(1):78-82.
BACKGROUND: We present a case in which a laparoscopic common bile duct exploration was performed safely in a pregnant patient with acute gallstone pancreatitis.
CASE REPORT: A 25-year-old female, gravida 4 para 3, at 14-weeks gestation presented to her obstetrician with complaints of epigastric pain radiating to the back. She was otherwise healthy with no past medical or surgical history. A physical examination revealed a healthy young female with no evidence of jaundice and in no acute distress. An abdominal examination was remarkable for a gravid abdomen with mild tenderness to palpation in her epigastrium and negative Murphy's sign. The patient safely underwent a laparoscopic common bile duct exploration after a laparoscopic cholecystectomy was performed.
CONCLUSION: This case illustrates the role of laparoscopic common bile duct exploration in the diagnosis and treatment of possible choledocholithiasis in a pregnant patient.
Department of Surgery, Tripler Army Medical Center, Honolulu, Hawaii 96859-5000, USA.