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In addition, gallbladder emptying slows in the second trimester, increasing st. john’s mercy hospital the risk of cholelithiasis. Surgical treatment of biliary colic is safely accomplished st. john’s mercy hospital in the first and second trimesters but should be avoided in the third trimester. Symptoms of cholelithiasis are similiar in pregnant and nonpregnant patients.15 Patients with cholecystitis typically present with laboratory abnormalities, including leukocytosis and mild to moderate elevations of transaminase and bilirubin levels. The alkaline phosphatase level progressively increases during st. john’s mercy hospital normal pregnancy and is unhelpful in distinguishing hepatobiliary disease. A liver ultrasound examination is most helpful in determining the presence of cholelithiasis or sludge in symptomatic patients.15 Surgical treatment (i.e., laparoscopic cholecystectomy) of biliary colic can be safely accomplished in the first or second trimester.4
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