Pancreaticoduodenectomy as treatment of adenocarcinoma of the papilla of Vater diagnosed during pregnancy. A case report.

Abstract

BACKGROUND:

Papillary adenocarcinomas are rare tumors of the gastrointestinal tract. There are few reports of this neoplasm diagnosed during pregnancy.

CASE:

A case of adenocarcinoma of the papilla of Vater was diagnosed by sonographically guided biopsy during pregnancy. The patient underwent radical resection of the tumor at 25 weeks' gestation; pregnancy termination was not indicated. At 39 weeks' gestation, a cesarean-section was performed. The postoperative period entailed total parenteral nutrition until intestinal motility stabilized. This ensured the mother and fetus' well-being until delivery.

CONCLUSION:

Papillary adenocarcinoma is associated with good prognosis since it is totally removed by radical resection, and pancreaticoduodenectomy can be performed successfully during pregnancy, but the patient must receive special prenatal care.

• Authors: R Ruano, E A Hase, C Bernini, D S Steinman, D Birolini, M Zugaib
• Journal: The Journal of reproductive medicine (J Reprod Med) Vol. 46 Issue 11 Pg. 1021-4 (Nov 2001) ISSN: 0024-7758 [Print] United States
• PMID: 11762147 (Publication Type: Case Reports, Journal Article)

Topics

• Adenocarcinoma, Papillary (diagnostic imaging, surgery)
• Adult
• Ampulla of Vater (diagnostic imaging, surgery)
• Common Bile Duct Neoplasms (diagnostic imaging, surgery)
• Female
• Humans
• Pancreaticoduodenectomy
• Pregnancy
• Pregnancy Complications, Neoplastic (diagnostic imaging, surgery)
• Ultrasonography, Prenatal