GASTRIC CANCER IN DIFFERENTIALDIAGNOSIS OFHYPEREMESIS GRAVIDARUM: CASE REPORT
Yükleniyor...
Tarih
2008
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Galenos Yayincilik
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Gastric cancer in pregnancy is rare and, portends a grave prognosis probably due to its relatively late diagnosis at an advanced state. Because many nonspecific gastrointestinal symptoms are attributed mainly to nausea and vomiting of pregnancy which is a broad term and hesitation may exist subjecting pregnant women to extensive diagnostic procedures, delay in diagnosis usually ensues. A 30-year-old multigravida in her 22nd week of gestation was referred to our institution because of nausea, vomiting, heartburn, and epigastric pain resistant to therapy with antiacid, sucralfate, H2 receptor blockers, antibiotics and, antispasmodics which were given on multipl occations throughout her pregnancy. In abdominal ultrasonography a mass lesion adjacent to liver was detected. Gastric carcinoma was diagnosed by biopsy taken by endoscopy. The patient and family decided not to terminate the pregnancy. At 24th week of gestation subtotal gastrectomy, gastrojejunostomy, Witzel jejunostomy, and lymphadenectomy procedures were performed. Histopathology confirmed signet cell type gastric carcinoma. After corticosteroid therapy a 1450 gr weighing male baby was delivered by c/ s at 29 week and 3 days of gestation with the parents' insistence in order to institute chemotherapy as soon as possible. The baby was discharged from neonatal intensive care unit after 5 days. The patient is alive and disease free at 36 months postoperatively.
Açıklama
Anahtar Kelimeler
endoscopy, gastric cancer, hyperemesis gravidarum, nausea and vomiting of pregnancy
Kaynak
Turkish Journal of Obstetrics and Gynecology
WoS Q DeÄŸeri
N/A
Scopus Q DeÄŸeri
Cilt
5
Sayı
1
