# Common bile duct exploration with choledochotomy and primary repair during pregnancy: Case Report

## TL;DR

A pregnant woman safely underwent a combined laparoscopic procedure to remove bile duct and gallstones during her second trimester.

## Contribution

This case report demonstrates the feasibility and safety of T-tube-free laparoscopic choledochotomy during pregnancy.

## Key findings

- A pregnant patient successfully underwent laparoscopic stone extraction and cholecystectomy without complications.
- The procedure was performed safely in the second trimester with an uneventful postoperative recovery.
- The case highlights viable treatment options for symptomatic choledocholithiasis combined with gallstones during pregnancy.

## Abstract

We present a case of a woman in the second trimester of pregnancy who was admitted due to symptomatic common bile duct stones and gallstones. The patient underwent ultrasonography (US) and magnetic resonance cholangiopancreatography (MRCP) imaging, as well as a series of relevant blood tests, to establish a diagnosis. After a comprehensive assessment, simultaneous T-tube-free laparoscopic transcholedochal stone extraction and cholecystectomy were performed safely in the pregnant patient with common bile duct stones and gallstones. Postoperatively, the patient had an uneventful recovery. This case report aims to provide detailed information on the selection of treatment options for symptomatic choledocholithiasis combined with gallstones during pregnancy and to explore the feasibility and safety of performing concurrent T-tube-free laparoscopic choledochotomy for stone extraction in pregnant patients.