Medline ® Abstract for Reference 39
of 'Approach to acute abdominal pain in pregnant and postpartum women'
Spontaneous rupture of solid pseudopapillary neoplasm of the pancreas during pregnancy.
Huang SC, Wu TH, Chen CC, Chen TC
Obstet Gynecol. 2013 Feb;121(2 Pt 2 Suppl 1):486-8.
BACKGROUND: Spontaneous rupture of solid pseudopapillary neoplasm of the pancreas is an unusual complication during pregnancy.
CASE: At 19 weeks of gestation, a 29-year-old woman presented with a pancreatic mass and upper abdominal pain radiating to the back. On the third day of admission, shock and peritoneal signs developed. Exploratory laparotomy and subsequent subtotal pancreatectomy were performed for a bleeding tumor. Solid pseudopapillary neoplasm was confirmed by pathological examination. The patient delivered a healthy full-term girl vaginally. Eight months postoperatively, the clinical courses of both mother and infant have been uneventful.
CONCLUSION: Ruptured solid pseudopapillary neoplasms can cause an acute abdomen during pregnancy. The expression of progesterone receptors in solid pseudopapillary neoplasm is a possible cause of this potentially devastating event.
Department of Pathology, Chang Gung Memorial Hospital, Chang Gung University School of Medicine, Taoyuan, Taiwan.