繰り返す胆石性胆嚢炎に対して妊娠20週で腹腔鏡下胆嚢摘出術を施行した １例

We report a case of laparoscopic cholecystectomy for a woman with symptomatic cholecystitis in the ２０th week of pregnancy. A ２６ year old pregnant woman visited our hospital with sudden abdominal pain on the １５th week of pregnancy. She received a proton pomp inhibitor for suspecting acute gastritis. She visited our hospital again with the same complaint on the １９th week of pregnancy. With a diagnosis of symptomatic cholecystitis, she was referred to the department of Gastroenterology at our hospital.
Her symptoms recovered following fasting and resting once. However, laparoscopic cholecystectomy was performed because of the recurrence of symptoms at the ２０th week of pregnancy. The postoperative courses of both mother and fetus were well. She was discharged on the ４th postoperative day. She delivered a bouncing baby on the ３７th week ４ day at natural childbirth.