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Cholecystitis in
Pregnancy
Meghan Donlevy TUSM3
March 2006
Introduction
Maternal Physiology
30-50% increase in
plasma volume
Diastolic BP drop in 2nd
trimester
Lung tidal volumes
increase->mild
respiratory alkalosis
Increases in GFR,
decreased creatinine
Decreased GI motility
Mild leukocytosis
Diagnostic
Considerations
Anesthesia During
Pregnancy
Appendicitis
Suspected appendicitis
accounts for 2/3 of all
nonobstetric abdominal
surgeries
Occurs in 0.1 to 1.4% of all
pregnancies
Babler (1908) stated The
mortality of appendicitis is
the mortality of delay.
Difficult Diagnosis
Appendiceal rupture and
generalized peritonitis are
more common in later
pregnancy
Ultrasound vs CT
CT for appendicitis
Management of
Appendicitis
Cholecystitis
Management of
Cholecystitis
Conclusions
References