Successful laparoscopic cholecystectomy at 32 weeks of pregnancy - A case report

Danielle Ward; Danielle LaSalle Hashmi; Sergey Zhitnikov

doi:10.1016/j.ijscr.2021.106119

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Successful laparoscopic cholecystectomy at 32 weeks of pregnancy - A case report

Journal article

Open access

Peer reviewed

Successful laparoscopic cholecystectomy at 32 weeks of pregnancy - A case report

Danielle Ward, Danielle LaSalle Hashmi and Sergey Zhitnikov

International journal of surgery case reports, v 84, 106119

01 Jul 2021

DOI: https://doi.org/10.1016/j.ijscr.2021.106119

PMID: 34167073

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Abstract

Case report

Cholelithiasis

Laparoscopic cholecystectomy

Laparoscopic surgery pregnancy

Third trimester cholecystectomy

During gestation, laparoscopic procedures, if needed, are generally considered most ideal within the second trimester. There are less reports of successful laparoscopic procedures in the third trimester of pregnancy due to performance hesitancy with concerns of preterm labor and/or other complications. While it is rare for laparoscopic cholecystectomy to be performed within the third trimester, it should not be delayed if needed, and excellent outcomes can be achieved with proper port placement and procedure. We present the case of a 22-year-old female thirty-two weeks and six days into gestation who underwent a laparoscopic cholecystectomy with intraoperative cholangiogram after presenting with acute-on-chronic cholecystitis. The procedure was without complications, and both the patient and fetus remained stable following surgery, and were discharged on postoperative day 2. The long-established belief is laparoscopic procedures should ideally be attempted in the second trimester to decrease the risk of preterm labor or spontaneous abortion in obstetric patients. Per SAGES guidelines, when clearly indicated, laparoscopic cholecystectomy should not be avoided in any trimester. This case highlights the relative safety of a laparoscopic cholecystectomy in the third trimester of pregnancy with emphasis on standard technique and proper port placement based on uterus size. •Relative safety of laparoscopic cholecystectomy in the third trimester of pregnancy•Successful laparoscopic cholecystectomy in a pregnant patient of 32 weeks gestation•Standard technique and proper laparoscopic port placement based on uterus size•When indicated, laparoscopic cholecystectomy should not be avoided in any trimester

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Details

Title: Successful laparoscopic cholecystectomy at 32 weeks of pregnancy - A case report
Creators: Danielle Ward - Philadelphia College of Osteopathic Medicine
Danielle LaSalle Hashmi - Philadelphia College of Osteopathic Medicine
Sergey Zhitnikov - Crozer-Keystone Health System
Publication Details: International journal of surgery case reports, v 84, 106119
Publisher: Elsevier
Resource Type: Journal article
Language: English
Academic Unit: Surgery; Emergency Medicine
Web of Science ID: WOS:000675879300005
Scopus ID: 2-s2.0-85108288206
Other Identifier: 991022007278504721

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Web of Science research areas: Surgery