Conclusion
Acute lithiasis cholangitis is a rare situation in pregnant women. Diagnosis is often easy considering typical clinical presentation, but can lead to serious complications for both mother and fetus if diagnosis is delayed. Management is based on antibiotic therapy and bile duct clearance. Endoscopic sphincterotomy may be a good alternative to surgical treatment, allowing bile ducts’ clearance, postponing cholecystectomy to postpartum period.