International Journal of Academic Health and Medical Research (IJAHMR)   Year: 2024 | Volume: 8 | Issue: 3 | Page No.: 40-43 Acute cholecystitis and pregnancy: A case report Download PDF Mohamed cheikh abderrahmane , Abdi Mohamed lemine , Moulay Abdelilah Melhouf , Taleb maouloud mohamed elemin ; Khatraty Cheikh saadbouh ; Bachir Benjelloun Abstract: : Acute cholecystitis during pregnancy is not an exceptional condition. The frequency of acute cholecystitis during pregnancy is rare, ranging from 1 to 8 per 10,000 pregnancies. Pregnancy favours the formation of gallstones, due to increased serum and biliary cholesterol concentrations, combined with vesicular stasis secondary to biliary tract atony, associated with increased feto-placental steroid levels. The clinical picture is similar to that seen outside pregnancy, and is dominated by pain in the right hypochondrium, comparable to that of hepatic colic, and nausea and vomiting, which are common in pregnant women. Physical signs, notably fever, Murphy's sign and provoked right hypochondrium pain, strongly suggest the diagnosis of acute cholecystitis. Biology showing hyperleukocytosis is difficult to interpret due to the moderate leukocytosis during pregnancy.