Operative management of acute cholecystitis in pregnancy: Case report

Introduction: Acute cholecystitis is the second most common non-obstetric surgical disease during pregnancy. There have been several trials comparing operative and non-operative management in the past. Purpose: To present a clinical case from our practice and to compare clinical man...

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Main Authors: Lora Varbanova, Konstantin Ivanov Kostov, Mariya Sevdalinova Chaneva, Stefka Achkova Ivanova, Petar Yordanov Atanasov, Venceslava Atanasova
Format: Article
Language:English
Published: Pensoft Publishers 2023-10-01
Series:Pharmacia
Online Access:https://pharmacia.pensoft.net/article/113881/download/pdf/
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author Lora Varbanova
Konstantin Ivanov Kostov
Mariya Sevdalinova Chaneva
Stefka Achkova Ivanova
Petar Yordanov Atanasov
Venceslava Atanasova
author_facet Lora Varbanova
Konstantin Ivanov Kostov
Mariya Sevdalinova Chaneva
Stefka Achkova Ivanova
Petar Yordanov Atanasov
Venceslava Atanasova
author_sort Lora Varbanova
collection DOAJ
description Introduction: Acute cholecystitis is the second most common non-obstetric surgical disease during pregnancy. There have been several trials comparing operative and non-operative management in the past. Purpose: To present a clinical case from our practice and to compare clinical management with worldwide standards. Materials and methods: A 42-year-old patient in the 20th gestational week presented to our department with complaints of pain in the epigastrium and RUQ, as well as a single incidence of vomiting, during the last two days. Results: We operated 15 h after admission and did a standard laparoscopy. The patient was discharged on the 4th postoperative day. Conclusion: A review of the available literature shows the prevalence of early laparoscopic cholecystectomy, while non-operative management has proven to have higher complication rates. Laparoscopic surgery in pregnancy has proven to be safe for both mother and fetus. In our case, the patient was operated on within the first 24 hours of admission. We did not observe any complications during her stay and follow-up.
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spelling doaj.art-6d4615cad04b4e7a949d64987964575f2023-10-25T08:11:08ZengPensoft PublishersPharmacia2603-557X2023-10-017041195119910.3897/pharmacia.70.e113881113881Operative management of acute cholecystitis in pregnancy: Case reportLora Varbanova0Konstantin Ivanov Kostov1Mariya Sevdalinova Chaneva2Stefka Achkova Ivanova3Petar Yordanov Atanasov4Venceslava Atanasova5Visceral and Emergency Surgery, UMHATEM “N. I. Pirogov”Visceral and Emergency Surgery, UMHATEM “N. I. Pirogov”Clinic of Internal Diseases, University Multidisciplinary Hospital for Active Treatment and Emergency Medicine “N. I. Pirogov”Bulgarian Pharmaceutical Science SocietyClinic of Internal Diseases, University Multidisciplinary Hospital for Active Treatment and Emergency Medicine “N. I. Pirogov”Bulgarian Pharmaceutical UnionIntroduction: Acute cholecystitis is the second most common non-obstetric surgical disease during pregnancy. There have been several trials comparing operative and non-operative management in the past. Purpose: To present a clinical case from our practice and to compare clinical management with worldwide standards. Materials and methods: A 42-year-old patient in the 20th gestational week presented to our department with complaints of pain in the epigastrium and RUQ, as well as a single incidence of vomiting, during the last two days. Results: We operated 15 h after admission and did a standard laparoscopy. The patient was discharged on the 4th postoperative day. Conclusion: A review of the available literature shows the prevalence of early laparoscopic cholecystectomy, while non-operative management has proven to have higher complication rates. Laparoscopic surgery in pregnancy has proven to be safe for both mother and fetus. In our case, the patient was operated on within the first 24 hours of admission. We did not observe any complications during her stay and follow-up.https://pharmacia.pensoft.net/article/113881/download/pdf/
spellingShingle Lora Varbanova
Konstantin Ivanov Kostov
Mariya Sevdalinova Chaneva
Stefka Achkova Ivanova
Petar Yordanov Atanasov
Venceslava Atanasova
Operative management of acute cholecystitis in pregnancy: Case report
Pharmacia
title Operative management of acute cholecystitis in pregnancy: Case report
title_full Operative management of acute cholecystitis in pregnancy: Case report
title_fullStr Operative management of acute cholecystitis in pregnancy: Case report
title_full_unstemmed Operative management of acute cholecystitis in pregnancy: Case report
title_short Operative management of acute cholecystitis in pregnancy: Case report
title_sort operative management of acute cholecystitis in pregnancy case report
url https://pharmacia.pensoft.net/article/113881/download/pdf/
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AT mariyasevdalinovachaneva operativemanagementofacutecholecystitisinpregnancycasereport
AT stefkaachkovaivanova operativemanagementofacutecholecystitisinpregnancycasereport
AT petaryordanovatanasov operativemanagementofacutecholecystitisinpregnancycasereport
AT venceslavaatanasova operativemanagementofacutecholecystitisinpregnancycasereport