Ultrasound-guided ERC in pregnancy (10 weeks pregnant) without fluoroscopy – presentation of a sphincterotome in the CBD

Purpose: Obstructive biliary disease in pregnancy is rare. Reports range from therapeutic ERC with position control by aspiration of bile to short fluoroscopy with or without insertion of an endoprostheses. First Trimester X-rays should be used only if clearly indicated. The aim was to identify whether an ultrasound-guided ERC is effective and safe in early pregnancy. Material and methods: A 37-year-old woman presented with clinical and laboratory parameters of cholestasis. Ultrasound confirmed choledocholithiasis with enlargement of the CBD. ERC was performed in left lateral position under external ultrasound g…