Management of Obstructive Jaundice in Pregnancy, Secondary to Choledolithiasis with Cholelithiasis: A Challanging Scenario

Introduction: Jaundice in pregnancy is a yellow discoloration of the skin and mucous membranes associated with liver malfunction. Jaundice is second most common complication after hypertension. The common causes of jaundice in pregnancy are choledolithiasis and cholelithiasis. Pregnancy alters the composition of bile so risk factors are also increased during pregnancy. For educational point of communication, present study will emphasize the importance of safety of foetus and uterus even when risk factors are at great concern. Decision by gynaecologist regarding early induction of delivery to start mechanical procedures to treat secondary diseases is focal point po int of study. Case Report: A 36 year old lady with obstructive jaundice in pregnancy secondary to choledolithiasis with cholelithiasis was admitted to Hospital University Sains Malaysia. Antibiotics were given to the patient as a prophylaxis. There’s no procedure can be done to the patient during pregnant, until post-delivery, ERCP was planned. During last admission, the patient was discharged with TCA after 2 weeks, with p lan for laparotomy cholecystectomy later. Conclusion: St rategic approach and high aesthetic professional sense is required while dealing with pregnancy. Foetus and uterus safety should be prime goal before proceeding any medicat ion or surgical procedure. ERCP is also a valuable procedure to treat gallstones obstruction, and laparatomy cholecystectomy is the last procedure that can be done to remove the gallstones.