Post-cholecystectomy syndrome in pregnancy due to a long cystic stump.


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Sönmez R. E. , Büyüker F., Eren T. T. , Alimoğlu O.

Archives of Hellenic Medicine, cilt.37, ss.254-256, 2020 (Diğer Kurumların Hakemli Dergileri)

  • Cilt numarası: 37 Konu: 2
  • Basım Tarihi: 2020
  • Dergi Adı: Archives of Hellenic Medicine
  • Sayfa Sayıları: ss.254-256

Özet

Post-cholecystectomy syndrome

in pregnancy due to a long cystic stump

Hepatobiliary complications are common during pregnancy, and may have

serious sequelae, depending on the severity. There is not yet a common

agreement on the optimal time for gallbladder surgery, considering the

overall morbidity of pregnancy. This is a case report of a pregnant woman

with a history of laparoscopic cholecystectomy 1.5 years earlier, who was

admitted during the second trimester of pregnancy because of biliary colic

and elevation in the level of liver enzymes. Examination led to the diagnosis

of post-cholecystectomy syndrome (PCS) due to a cystic duct remnant which

was revealed on radiological evaluation. During her hospitalization she was

managed conservatively and was discharged uneventfully. Cystic duct remnant

is a rare cause of PCS that can be managed safely with a conservative

approach during pregnancy, leaving surgery until the post-gestational period.