Format

Send to

Choose Destination
See comment in PubMed Commons below
Obstet Gynecol. 2010 Aug;116 Suppl 2:518-20. doi: 10.1097/AOG.0b013e3181de8995.

Diagnosis and management of pancreatic carcinoma during pregnancy.

Author information

1
Department of Obstetrics and Gynecology, Fukui Aiiku Hospital, Fukui-city, Japan. i_love_music_andjp@yahoo.co.jp

Abstract

BACKGROUND:

Acute, persistent abdominal pain due to ruptured pancreatic carcinoma and perforated stomach is extremely rare during pregnancy.

CASE:

We evaluated a woman at 34 weeks of gestation presenting with uterine contractions. Computed tomography scanning revealed a large retroperitoneal mass, and her blood carbohydrate antigen 19-9 level was elevated. Immediately after an emergency cesarean delivery, pancreatic cancer was detected, and pancreatoduodenectomy was performed. The patient underwent chemotherapy and remains disease-free at 2 years.

CONCLUSION:

Delayed diagnosis and treatment are associated with high morbidity of both neonate and mother in cases of pancreatic cancer during pregnancy. Computed tomography scanning and carbohydrate antigen 19-9 levels are useful for diagnosis, after which radical surgery should be performed immediately in late pregnancy.

PMID:
20664439
DOI:
10.1097/AOG.0b013e3181de8995
[Indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Lippincott Williams & Wilkins
    Loading ...
    Support Center