CYSTADENOMA OF THE EXTRAHEPATIC BILIARY TRACT AND PANCREATIC TAIL CYST RUPTURE AMONG SURGICAL CONDITIONS OF PREGNANT WOMEN

Dobroslawa L. Sikora-Szczesniak*

ABSTRACT

Objective: Evaluation of the results of surgical interventionsforemergency surgical conditionsin pregnancy. Material and methods: Retrospective analysis of medical records of 11 women hospitalized in 2012-2017, who underwent surgery during pregnancy for emergency surgical conditions. The analysis included the patients’ age, gestational age at the time of surgical treatment, type of treatment, histopathological results of the material obtained as a result of surgical procedures, and obstetric outcomes. Results: Emergency surgical interventions (11 cases, 0.108%) selected from10,160 deliveries during the 6-year-period. Appendicitis (7 cases, 63.6%) was the most frequent condition requiring surgical intervention.Other conditions were: cholecystitis (2 cases, 18.2%), giant cyst of the extrahepatic biliary ducts(1 case, 9.1%), and rupture of the pancreatic tail cyst concomitant with acute pancreatitis and peritonitis (1 case, 9.1%). Laparotomy and laparoscopy were performed in 10and 1 woman respectively. Pretermdeliveries related to the surgery were recorded twice (18.2%). Reoperation was necessary in one of three (27.3%) cases complicated by peritonitis. Conclusions: Surgical intervention due to surgical emergenciesin pregnancy poses a risk of complications threatening the health and life of the pregnant woman and obstetric failure such as preterm delivery.

Keywords: Pregnancy / appendicitis / cholecystitis / cystadenoma of extrahepatic bile ducts / pancreatic cyst rupture.