Surgical Management of Underlying Biliary Disease in Refractory Hyperemesis Gravidarum

Author Info

Carolyn Chatterton Firas Bridges Jennifer McEachron Pankaj Singhal

Corresponding Author

Jennifer McEachron
Division of Gynecologic Oncology, Downstate Medical Center, University Hospital of Brooklyn, Brooklyn, NY

A B S T R A C T

Hyperemesis gravidarum (HEG) is the most common cause of hospitalization during the first half of pregnancy. It affects approximately 0.3-3% of all pregnancies [1]. There is no one accepted definition or diagnostic criteria for HEG. The most commonly cited criteria include persistent vomiting not related to other causes, measure of acute starvation (most commonly ketonuria), and weight loss; most often loss of at least 5% of pre-pregnancy body weight [2]. Symptoms typically begin in the late first trimester and are rarely associated with abdominal pain. HEG is managed a stepwise fashion by adding pharmacotherapy sequentially until symptom resolution [3, 4]. Patients who present with classic signs and symptoms of HEG but are non-responsive to all levels of therapy present a therapeutic challenge. In these cases, the search for other causes of nausea and vomiting should be undertaken.

Article Info

Article Type

Case Report

Publication history

Received: Tue 05, Nov 2019
Accepted: Tue 19, Nov 2019
Published: Mon 25, Nov 2019

Copyright

© 2023 Jennifer McEachron. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.SCR.2019.06.05