The role in the decision-making of the surgeon in choledochal cysts during pregnancy

Authors

  • Carlos F. Nicolás-Cruz Department of General Surgery, Zone General Hospital “Nueva Frontera”, Mexican Social Security Institute. Chiapas, México http://orcid.org/0000-0003-3429-2163
  • Paola I. Pech-Cervantes Department of General Surgery, Zone General Hospital “Nueva Frontera”, Mexican Social Security Institute. Chiapas, México
  • Juan A. Loyo-Cosme Department of General Surgery, Zone General Hospital “Nueva Frontera”, Mexican Social Security Institute. Chiapas, México
  • Omar M. Herrera-Ortiz de Ora Department of General Surgery, Zone General Hospital “Nueva Frontera”, Mexican Social Security Institute. Chiapas, México
  • Jorge A. Ordoñez-García Department of Obstetrics and Gynecology, Regional High Specialty Hospital "Ciudad Salud", National System of High Specialty Hospitals. Chiapas, México
  • Fabiola Valdez-Maldonado Department of Anesthesiology, Regional High Specialty Hospital "Ciudad Salud", National System of High Specialty Hospitals. Chiapas, México
  • Jose Manuel Degante-Aguilar Hepato-Pancreato-Biliary Clinic, Regional High Specialty Hospital "Ciudad Salud", National System of High Specialty Hospitals. Chiapas, México

DOI:

https://doi.org/10.18203/2349-2902.isj20214391

Keywords:

Choledochal cyst, Pregnancy, Hepp couinaud biliary-digestive derivation

Abstract

The diagnosis and management of bile duct diseases during pregnancy are highly controversial because preserving both the fetus and pregnancy often required surgical intervention. In this manuscript we reported three cases of pregnant patients referred to our hospital with choledochal cyst. Medical management was implemented until fetal well-being was compromise with moderate cholangitis and oligohydramnios. A C-section prior induction with lung ripeness was performed, four weeks later cyst resection and biliodigestive derivation was performed prior preoperative parenteral total nutrition was implemented. All patients and products survived without complications.  

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Published

2021-10-28

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Case Reports