Aggressive management of cholecystitis during pregnancy

Am J Surg. 1987 Sep;154(3):292-4. doi: 10.1016/0002-9610(89)90613-2.


Nonoperative management of symptomatic cholelithiasis has generally been recommended for pregnant patients. However, a review of our experience with 44 patients at the Los Angeles County-University of Southern California Medical Center indicates that conservative management is associated with recurrent episodes of biliary tract symptoms, often requiring multiple hospitalizations, as well as a significant rate of fetal loss; whereas operation performed during the second trimester was associated with little maternal morbidity, no fetal loss, and a substantial reduction in total hospital days.

MeSH terms

  • Adult
  • Cholecystectomy*
  • Cholecystitis / surgery*
  • Female
  • Hospitalization
  • Humans
  • Infant, Newborn
  • Pregnancy
  • Pregnancy Complications / surgery*
  • Pregnancy Trimester, Second
  • Risk