Pancreatic Tumors Complicating Pregnancy: A Concern for Fetomaternal Well Being
Received 19 May 2020
Accepted for publication 20 June 2020
Published 8 July 2020 Volume 2020:13 Pages 255—259
Checked for plagiarism Yes
Review by Single-blind
Peer reviewer comments 2
Editor who approved publication: Professor Ronald Prineas
Utsav Joshi, Sandesh Raj Upadhaya, Vishakha Agrawal, Ashma Rana
Department of Obstetrics and Gynecology, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal
Correspondence: Utsav Joshi
Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, PO Box 1524, Kathmandu, Nepal
Tel +977 98 4972 6254
Fax +977 1 4423771
Introduction: Hemoperitoneum resulting from the rupture of pancreatic tumors is a rare condition, especially during pregnancy.
Case Presentation: We report a case of a 21-year-old gravida 2, para 1, at 25+5 weeks of gestation, who presented to the hospital with severe epigastric pain and decreased fetal movement. Ultrasonography showed intrauterine fetal death, a retroperitoneal mass in the epigastric region, and hemoperitoneum. Computed tomography scan revealed a heterogeneously enhancing pancreatic mass suggestive of pancreatic neoplasm. However, the late diagnosis and the delay in treatment resulted in a deterioration of maternal status with eventual mortality.
Conclusion: Diagnostic difficulties occur because of the rarity of the condition and vague clinical presentations. In case of a pregnancy complicated by hemoperitoneum, prompt effort to stop the intraperitoneal bleeding is imperative.
Keywords: hemoperitoneum, pancreas, neoplasm, pregnancy, mortality
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