2024 Volume 38 Issue 1 Pages 103-107
The patient is a 42-year-old 6-week pregnant woman. Epigastric pain and jaundice developed 11 days before. A blood test showed elevated hepatobiliary enzymes, and an abdominal ultrasonography revealed choledocholithiasis, and she was referred to our hospital for suspected acute cholangitis. MRCP revealed a 5mm bile duct stone. After thorough discussions with the Department of Obstetrics and Gynecology, the Department of Radiology, and the Department of Pharmacy, we decided to perform ERCP. We successfully inserted the scope into the patient with a minimal amount of drugs and successfully cannulated the bile duct using the pancreatic guidewire method. It was judged dangerous to remove the stone due to the patient's vigorous body movements.
A bile duct stent was inserted after EST, and the procedure was completed quickly. She was discharged on hospital day 3 with no apparent complications. Since the safety of ERCP in pregnant women has not been established, we report it with some review of the literature.
