Endoscopic management of symptomatic choledocholithiasis in pregnancy without the use of radiations.
We report a case of 26-year-old woman at 10th week of gestation with cholestatic jaundice due to a common bile duct (CBD) stone managed by endoscopical retrograde cholangiopancreatography (ERCP). The procedure was successfully carried out without the use of ionizing radiations and under trans-abdominal ultrasonographical (US) control. A few cases are reported in literature in which ERCP was performed without fluoroscopy examination. We believe that ERCP with US guidance is an effective and safe procedure to treat symptomatic choledocholithiasis in pregnant women.
Pasquale
L
L
Gastroenterology Unit, Ariano Irpino Hospital - ASL-AVI, Ariano Irpino, Avellino, Italy.
Caserta
L
L
Rispo
A
A
Biondi
V
V
Rossi
M
M
Ciccarelli
A
A
Raffa
M
M
Bevilacqua
G
G
D000328:Adult; D002760:Cholangiopancreatography, Endoscopic Retrograde; D042883:Choledocholithiasis / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D005260:Female; D005471:Fluoroscopy / Q000009:adverse effects; D042882:Gallstones / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D005865:Gestational Age; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D016896:Treatment Outcome; D016312:Treatment Refusal; D018084:Ultrasonography, Interventional