International Medical Case Reports Journal (Jul 2020)
Pancreatic Tumors Complicating Pregnancy: A Concern for Fetomaternal Well Being
Abstract
Utsav Joshi, Sandesh Raj Upadhaya, Vishakha Agrawal, Ashma Rana Department of Obstetrics and Gynecology, Institute of Medicine, Tribhuvan University, Kathmandu, NepalCorrespondence: Utsav JoshiMaharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, PO Box 1524, Kathmandu, NepalTel +977 98 4972 6254Fax +977 1 4423771Email [email protected]: 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
