Korean J Intern Med.
1997 Jan;12(1):105-108.
Acute pancreatitis complicating pregnancy in a patient with co-existing
choledochal cyst
- Affiliations
-
- 1Department of Medicine, Samsung Medical Center, Kangnam-Gu, Seoul.
Abstract
- Choledochal cyst, although more common in females than in males, has only rarely
been encountered in association with pregnancy. A 29-year-old nulliparous woman
at 32nd week gestation was diagnosed as acute pancreatitis with co-existing type
l choledochal cyst. Resection of the choledochal cyst was performed and a
Roux-en-Y hepatico-jeunostomy was carried out to provide biliary drainage.
Although the preferred management of a choledochal cyst is excision and Roux-en
Y reconstruction, this may have to be deferred until after delivery, depending
on gestational age, because of the risk of fetal mortality and maternal
morbidity that is associated with this procedure.