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Mucinous Cystic Neoplasm of Pancreas in a Pregnant Woman Presenting with Severe Anemia and Gastric Bleeding: Case Report and Review of the Literature

Mucinous cystic neoplasms of the pancreas are uncommon and especially their occurrence during pregnancy is an extremely rare event which necessitates an individualized and interdisciplinary management. A 33-year old woman was referred to our department during her third trimester of pregnancy (34th w...

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Autores principales: Farahmandi, Susan, Elessawy, Mohamed, Bauerschlag, Dirk O., Pecks, Ulrich, Abdullazade, Samir, Beckmann, Jan Henrik, Heilmann, Thorsten, Rumpf, Anna-Lena, Maass, Nicolai, Jansen, Peer, Winkler, Vincent
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8148137/
https://www.ncbi.nlm.nih.gov/pubmed/34066323
http://dx.doi.org/10.3390/healthcare9050540
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author Farahmandi, Susan
Elessawy, Mohamed
Bauerschlag, Dirk O.
Pecks, Ulrich
Abdullazade, Samir
Beckmann, Jan Henrik
Heilmann, Thorsten
Rumpf, Anna-Lena
Maass, Nicolai
Jansen, Peer
Winkler, Vincent
author_facet Farahmandi, Susan
Elessawy, Mohamed
Bauerschlag, Dirk O.
Pecks, Ulrich
Abdullazade, Samir
Beckmann, Jan Henrik
Heilmann, Thorsten
Rumpf, Anna-Lena
Maass, Nicolai
Jansen, Peer
Winkler, Vincent
author_sort Farahmandi, Susan
collection PubMed
description Mucinous cystic neoplasms of the pancreas are uncommon and especially their occurrence during pregnancy is an extremely rare event which necessitates an individualized and interdisciplinary management. A 33-year old woman was referred to our department during her third trimester of pregnancy (34th week of gestation) with severe anemia and tarry stools. Based on gastroscopic findings, our interdisciplinary team suspected a gastrointestinal stromal tumor and therefore indicated a prompt delivery via cesarean section completed with an oncological resection of the neoplasm. Histological examination subsequently showed a mucinous cystic neoplasm of the pancreas with no evidence of malignancy. To review the prevalence of mucinous cystic neoplasms and to discuss diagnosis and treatment during pregnancy. Moreover, we critically value the indication of preterm delivery and the oncological procedure in the perspective of outcome for mother and infant. A bleeding gastrointestinal tumor during pregnancy represents a life-threatening risk for mother and infant and requires an immediate interdisciplinary treatment. The urgency and radicality of the therapy should be adapted according to individual findings. As our patient’s tumor was suspected of having a malignant progression, an extensive surgical intervention was necessary.
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spelling pubmed-81481372021-05-26 Mucinous Cystic Neoplasm of Pancreas in a Pregnant Woman Presenting with Severe Anemia and Gastric Bleeding: Case Report and Review of the Literature Farahmandi, Susan Elessawy, Mohamed Bauerschlag, Dirk O. Pecks, Ulrich Abdullazade, Samir Beckmann, Jan Henrik Heilmann, Thorsten Rumpf, Anna-Lena Maass, Nicolai Jansen, Peer Winkler, Vincent Healthcare (Basel) Case Report Mucinous cystic neoplasms of the pancreas are uncommon and especially their occurrence during pregnancy is an extremely rare event which necessitates an individualized and interdisciplinary management. A 33-year old woman was referred to our department during her third trimester of pregnancy (34th week of gestation) with severe anemia and tarry stools. Based on gastroscopic findings, our interdisciplinary team suspected a gastrointestinal stromal tumor and therefore indicated a prompt delivery via cesarean section completed with an oncological resection of the neoplasm. Histological examination subsequently showed a mucinous cystic neoplasm of the pancreas with no evidence of malignancy. To review the prevalence of mucinous cystic neoplasms and to discuss diagnosis and treatment during pregnancy. Moreover, we critically value the indication of preterm delivery and the oncological procedure in the perspective of outcome for mother and infant. A bleeding gastrointestinal tumor during pregnancy represents a life-threatening risk for mother and infant and requires an immediate interdisciplinary treatment. The urgency and radicality of the therapy should be adapted according to individual findings. As our patient’s tumor was suspected of having a malignant progression, an extensive surgical intervention was necessary. MDPI 2021-05-06 /pmc/articles/PMC8148137/ /pubmed/34066323 http://dx.doi.org/10.3390/healthcare9050540 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Farahmandi, Susan
Elessawy, Mohamed
Bauerschlag, Dirk O.
Pecks, Ulrich
Abdullazade, Samir
Beckmann, Jan Henrik
Heilmann, Thorsten
Rumpf, Anna-Lena
Maass, Nicolai
Jansen, Peer
Winkler, Vincent
Mucinous Cystic Neoplasm of Pancreas in a Pregnant Woman Presenting with Severe Anemia and Gastric Bleeding: Case Report and Review of the Literature
title Mucinous Cystic Neoplasm of Pancreas in a Pregnant Woman Presenting with Severe Anemia and Gastric Bleeding: Case Report and Review of the Literature
title_full Mucinous Cystic Neoplasm of Pancreas in a Pregnant Woman Presenting with Severe Anemia and Gastric Bleeding: Case Report and Review of the Literature
title_fullStr Mucinous Cystic Neoplasm of Pancreas in a Pregnant Woman Presenting with Severe Anemia and Gastric Bleeding: Case Report and Review of the Literature
title_full_unstemmed Mucinous Cystic Neoplasm of Pancreas in a Pregnant Woman Presenting with Severe Anemia and Gastric Bleeding: Case Report and Review of the Literature
title_short Mucinous Cystic Neoplasm of Pancreas in a Pregnant Woman Presenting with Severe Anemia and Gastric Bleeding: Case Report and Review of the Literature
title_sort mucinous cystic neoplasm of pancreas in a pregnant woman presenting with severe anemia and gastric bleeding: case report and review of the literature
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8148137/
https://www.ncbi.nlm.nih.gov/pubmed/34066323
http://dx.doi.org/10.3390/healthcare9050540
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