Biliary cyst in pregnancy managed by percutaneous drainage: a case report.
BACKGROUND
A maternal biliary cyst diagnosed in pregnancy is extremely rare. The condition can be asymptomatic or can present with chronic and intermittent abdominal pain, rupture of the cyst, and liver function test abnormalities. Management depends on the gestational age and the patient's condition when it is diagnosed.


METHODS
We present a case of a symptomatic type IV biliary cyst with abnormal liver function tests diagnosed in the second trimester of pregnancy and treated with a percutaneous drainage. The patient delivered vaginally at term and developed obstruction of the percutaneous drain with superimposed bacterial infection postpartum. She was lost to follow-up intermittently throughout her treatment.


CONCLUSIONS
Symptomatic biliary cyst in pregnancy may require palliative invasive intervention until delivery.
Department of Obstetrics and Gynecology, Winnie Palmer Hospital, Orlando Regional Healthcare, 105 West Miller Street, Orlando, FL 32806, USA.
Alexis
A
Lipton
Stephen J
SJ
Carlan
Andre
A
Teixeira
Gregory
G
Locksmith
D000328:Adult; D000713:Anastomosis, Roux-en-Y; D001062:Appendectomy; D001424:Bacterial Infections / Q000150:complications; D002763:Cholecystectomy / Q000379:methods; D015529:Choledochal Cyst / Q000150:complications* / Q000175:diagnosis / Q000628:therapy*; D004322:Drainage / Q000295:instrumentation; D004868:Equipment Failure; D005260:Female; D005865:Gestational Age; D006801:Humans; D007582:Jejunostomy / Q000379:methods; D008099:Liver / Q000601:surgery; D008279:Magnetic Resonance Imaging; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis* / Q000628:therapy*; D011256:Pregnancy Outcome