Cargando…

Management of gallstone-induced severe acute cholecystitis and pancreatitis in the second trimester of pregnancy during covid-19 pandemic: A case report

INTRODUCTION: Gallstone-induced severe acute cholecystitis with acute pancreatitis during pregnancy can be life-threatening both for the mother and fetus. Surgical approach is recommended in this complicated disease to prevent morbidity and mortality. During COVID-19 pandemic, additional precautions...

Descripción completa

Detalles Bibliográficos
Autores principales: Yuda Handaya, Adeodatus, Fauzi, Aditya Rifqi, Andrew, Joshua, Hanif, Ahmad Shafa, Radinal, Kevin, Kresna Aditya, Azriel Farrel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8279924/
https://www.ncbi.nlm.nih.gov/pubmed/34306675
http://dx.doi.org/10.1016/j.amsu.2021.102563
_version_ 1783722544624304128
author Yuda Handaya, Adeodatus
Fauzi, Aditya Rifqi
Andrew, Joshua
Hanif, Ahmad Shafa
Radinal, Kevin
Kresna Aditya, Azriel Farrel
author_facet Yuda Handaya, Adeodatus
Fauzi, Aditya Rifqi
Andrew, Joshua
Hanif, Ahmad Shafa
Radinal, Kevin
Kresna Aditya, Azriel Farrel
author_sort Yuda Handaya, Adeodatus
collection PubMed
description INTRODUCTION: Gallstone-induced severe acute cholecystitis with acute pancreatitis during pregnancy can be life-threatening both for the mother and fetus. Surgical approach is recommended in this complicated disease to prevent morbidity and mortality. During COVID-19 pandemic, additional precautions are needed when dealing with abdominal complaints. PRESENTATION OF CASE: We present a 37-year-old female patient, pregnant at 22 weeks gestational age, who complained of fever, diffuse abdominal pain, and shortness of breath. Laboratory examination results revealed anemia, leukocytosis and an increase in amylase level. SARS-CoV-2 antibody is non-reactive. Imaging strongly suggested cholelithiasis and cholecystitis. The patient was given antibiotics for three days but there was no significant improvement. Open cholecystectomy with subcostal (Kocher) incision was performed. Patient was released from the hospital without post-operative complications. DISCUSSION: Treatment of gallstone induced severe acute cholecystitis with acute pancreatitis during pregnancy is challenging with the surgical complications. In the second and third trimester of pregnancy, it is more difficult to perform laparoscopic cholecystectomy because of the size of uterus. Laparoscopic procedure is also not recommended in early Covid-19 pandemic period. Therefore, open cholecystectomy with Kocher incision becomes the surgery of choice to avoid preterm birth. CONCLUSIONS: Based on our case, open cholecystectomy with Kocher incision is a safe and effective procedure for pregnant patients with cholelithiasis, cholecystitis, and pancreatitis.
format Online
Article
Text
id pubmed-8279924
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-82799242021-07-20 Management of gallstone-induced severe acute cholecystitis and pancreatitis in the second trimester of pregnancy during covid-19 pandemic: A case report Yuda Handaya, Adeodatus Fauzi, Aditya Rifqi Andrew, Joshua Hanif, Ahmad Shafa Radinal, Kevin Kresna Aditya, Azriel Farrel Ann Med Surg (Lond) Case Report INTRODUCTION: Gallstone-induced severe acute cholecystitis with acute pancreatitis during pregnancy can be life-threatening both for the mother and fetus. Surgical approach is recommended in this complicated disease to prevent morbidity and mortality. During COVID-19 pandemic, additional precautions are needed when dealing with abdominal complaints. PRESENTATION OF CASE: We present a 37-year-old female patient, pregnant at 22 weeks gestational age, who complained of fever, diffuse abdominal pain, and shortness of breath. Laboratory examination results revealed anemia, leukocytosis and an increase in amylase level. SARS-CoV-2 antibody is non-reactive. Imaging strongly suggested cholelithiasis and cholecystitis. The patient was given antibiotics for three days but there was no significant improvement. Open cholecystectomy with subcostal (Kocher) incision was performed. Patient was released from the hospital without post-operative complications. DISCUSSION: Treatment of gallstone induced severe acute cholecystitis with acute pancreatitis during pregnancy is challenging with the surgical complications. In the second and third trimester of pregnancy, it is more difficult to perform laparoscopic cholecystectomy because of the size of uterus. Laparoscopic procedure is also not recommended in early Covid-19 pandemic period. Therefore, open cholecystectomy with Kocher incision becomes the surgery of choice to avoid preterm birth. CONCLUSIONS: Based on our case, open cholecystectomy with Kocher incision is a safe and effective procedure for pregnant patients with cholelithiasis, cholecystitis, and pancreatitis. Elsevier 2021-07-15 /pmc/articles/PMC8279924/ /pubmed/34306675 http://dx.doi.org/10.1016/j.amsu.2021.102563 Text en © 2021 Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Yuda Handaya, Adeodatus
Fauzi, Aditya Rifqi
Andrew, Joshua
Hanif, Ahmad Shafa
Radinal, Kevin
Kresna Aditya, Azriel Farrel
Management of gallstone-induced severe acute cholecystitis and pancreatitis in the second trimester of pregnancy during covid-19 pandemic: A case report
title Management of gallstone-induced severe acute cholecystitis and pancreatitis in the second trimester of pregnancy during covid-19 pandemic: A case report
title_full Management of gallstone-induced severe acute cholecystitis and pancreatitis in the second trimester of pregnancy during covid-19 pandemic: A case report
title_fullStr Management of gallstone-induced severe acute cholecystitis and pancreatitis in the second trimester of pregnancy during covid-19 pandemic: A case report
title_full_unstemmed Management of gallstone-induced severe acute cholecystitis and pancreatitis in the second trimester of pregnancy during covid-19 pandemic: A case report
title_short Management of gallstone-induced severe acute cholecystitis and pancreatitis in the second trimester of pregnancy during covid-19 pandemic: A case report
title_sort management of gallstone-induced severe acute cholecystitis and pancreatitis in the second trimester of pregnancy during covid-19 pandemic: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8279924/
https://www.ncbi.nlm.nih.gov/pubmed/34306675
http://dx.doi.org/10.1016/j.amsu.2021.102563
work_keys_str_mv AT yudahandayaadeodatus managementofgallstoneinducedsevereacutecholecystitisandpancreatitisinthesecondtrimesterofpregnancyduringcovid19pandemicacasereport
AT fauziadityarifqi managementofgallstoneinducedsevereacutecholecystitisandpancreatitisinthesecondtrimesterofpregnancyduringcovid19pandemicacasereport
AT andrewjoshua managementofgallstoneinducedsevereacutecholecystitisandpancreatitisinthesecondtrimesterofpregnancyduringcovid19pandemicacasereport
AT hanifahmadshafa managementofgallstoneinducedsevereacutecholecystitisandpancreatitisinthesecondtrimesterofpregnancyduringcovid19pandemicacasereport
AT radinalkevin managementofgallstoneinducedsevereacutecholecystitisandpancreatitisinthesecondtrimesterofpregnancyduringcovid19pandemicacasereport
AT kresnaadityaazrielfarrel managementofgallstoneinducedsevereacutecholecystitisandpancreatitisinthesecondtrimesterofpregnancyduringcovid19pandemicacasereport