title: Laparoscopic common bile duct exploration in pregnancy with acute gallstone pancreatitis.
abstract: BACKGROUND
  We present a case in which a laparoscopic common bile duct exploration was performed safely in a pregnant patient with acute gallstone pancreatitis.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  This case illustrates the role of laparoscopic common bile duct exploration in the diagnosis and treatment of possible choledocholithiasis in a pregnant patient.
authors.affiliation: Department of Surgery, Tripler Army Medical Center, Honolulu, Hawaii 96859-5000, USA.
authors.forename: Young W
authors.initials: YW
authors.lastname: Kim
authors.forename: Stanley M
authors.initials: SM
authors.lastname: Zagorski
authors.forename: Mathew H
authors.initials: MH
authors.lastname: Chung
mesh_terms: D000208:Acute Disease; D000328:Adult; D017081:Cholecystectomy, Laparoscopic; D003135:Common Bile Duct; D005260:Female; D042882:Gallstones / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D010535:Laparoscopy; D010195:Pancreatitis / Q000175:diagnosis* / Q000209:etiology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis* / Q000601:surgery; D011261:Pregnancy Trimester, First