Simultaneous endoscopic and laparoscopic management of acute biliary pancreatitis in the second trimester of pregnancy: A case report

Abstract Introduction and importance: Acute biliary pancreatitis during pregnancy is a rare but significant clinical challenge that requires a delicate balance between maternal and fetal safety. Gallstone disease remains among the leading causes of acute pancreatitis in pregnancy due to hormonal and physiological changes that predispose pregnant women to biliary stasis and sludge formation. While conservative management is often preferred in mild cases, persistent biliary obstruction or recurrent symptoms necessitate definitive intervention. ERCP and laparoscopic cholecystectomy have emerged as safe