The Journal of Maternal-Fetal & Neonatal Medicine · 2001 · 18 citations · 0 references
MedicineObstetricsSurgeryMaternal-fetal MedicineObstetric ComplicationsObstetric SurgeryBiliary InterventionsBiliary Tract DiseaseBiliary Tract DisordersIntrapartum ComplicationsMaternal Medical Complications In PregnancyPregnancyBiliary ReconstructionCholestasis In Pregnancy ManagementCommunication Of Treatment OptionsFetal MortalityMaternal Surgical MorbidityObstetric CholestasisPercutaneous Cyst DrainageTreatment Options Discussion
An 18-year-old woman at 18 weeks' gestation presented with abdominal pain and jaundice. After extensive evaluation, she was diagnosed as having a choledochal cyst. Ten days after percutaneous drainage, she underwent complete excision and Roux-en-Y hepaticojejunostomy anastomosis. At term, she delivered vaginally without complications. Although choledochal cysts are rare in pregnancy, it is important for the obstetrician to be familiar with the presentation and the best treatment modalities available. Delay in diagnosis and inappropriate treatment can result in maternal morbidity and fetal mortality.