Acute pancreatitis complicating pregnancy in a patient with co-existing choledochal cyst.
Choledochal cyst, although more common in females than in males, has only rarely been encountered in association with pregnancy. A 29-year-old nulliparous woman at 32nd week gestation was diagnosed as acute pancreatitis with co-existing type l choledochal cyst. Resection of the choledochal cyst was performed and a Roux-en-Y hepatico-jeunostomy was carried out to provide biliary drainage. Although the preferred management of a choledochal cyst is excision and Roux-en Y reconstruction, this may have to be deferred until after delivery, depending on gestational age, because of the risk of fetal mortality and maternal morbidity that is associated with this procedure.
Son
H J
HJ
Department of Medicine, Samsung Medical Center, Kangnam-Gu, Seoul.
Paik
S W
SW
Rhee
P L
PL
Kim
J J
JJ
Koh
K C
KC
Rhee
J C
JC
D000208:Acute Disease; D000328:Adult; D015529:Choledochal Cyst / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D006801:Humans; D010195:Pancreatitis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis* / Q000503:physiopathology; D011256:Pregnancy Outcome; D016216:Ultrasonography, Prenatal