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Pregnancy and biliary tract
disorders
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Can occur during
pregnancy inflammation of the
gallbladder because progesterone relaxes
smooth muscle of the gallbladder and
bile ducts. The inflammation that occurs
during pregnancy is treated with
antibiotics, intravenous fluids and
aspiration of gastric contents. If not
resolved in this way or there is a
swelling of the pancreas, should be
considered removal of the gallbladder.
If the operation is performed during the
second trimester, the fetal loss rate
increases, does not increase the number
of abortions, but it should be during
the third quarter, first it is
convenient to extract the fetus before
removing the gallbladder.
The intra-hepatic cholestasis of
pregnancy is a condition in which bile
fluids flow more slowly than usual, to
the point that there is an accumulation
of bile and bile salts in the liver
causing these fluids pass into the blood
and yellow skin pigmentation of the
patient and general body itching.
Ultrasound examination of the
gallbladder helps to rule out the
presence of stones inside. If no
hepatitis, the most likely diagnosis is
cholestasis of pregnancy, the disease
heals herself and watching the levels of
bilirubin and liver enzymes. There are
many controversies about the fetal
effects of this disorder, although there
is talk of a slight increase in the
number of births were preterm and
tendency toward maternal hemorrhage
after delivery. Treatment is
symptomatic, is used cholestyramine,
which reduces the absorption of fat
soluble vitamins and also decreases the
generalized itching. Later will require
supplemental vitamin K in the mother and
the newborn.
Acute fatty liver is a rare complication
of pregnancy usually occurs around the
35th week of pregnancy and does not tend
to recur during subsequent pregnancies.
The signs and symptoms are changing, but
helpful in the diagnosis of elevated
liver enzymes. Sometimes it has been
attributed to the administration of
tetracyclines.
