Acute cholecystitis in pregnancy
Landers, D.; Carmona, R.; Crombleholme, W.; Lim, R.
Obstetrics and Gynecology 69(1): 131-133
1987
ISSN/ISBN: 0029-7844 PMID: 3796914 Document Number: 295236
Thirty cases of acute cholecystitis in pregnancy were identified during a 12-year period. Twenty-one patients were successfully managed with medical therapy alone. Nine underwent surgical intervention, four after failing medical therapy and five as the initial approach to therapy. Surgical therapy was complicated by preterm labor and delivery in two patients undergoing surgery during the early third trimester. One patient underwent cholecystectomy during the first trimester and subsequently aborted. There were no serious complications in patients undergoing surgery during the second trimester. These data suggest that conservative medical management can be successfully used in most patients with acute cholecystitis in pregnancy.