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Medline ® Abstract for Reference 39

of 'Approach to acute abdominal pain in pregnant and postpartum women'

39
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Spontaneous rupture of solid pseudopapillary neoplasm of the pancreas during pregnancy.
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Huang SC, Wu TH, Chen CC, Chen TC
SO
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.
AD
Department of Pathology, Chang Gung Memorial Hospital, Chang Gung University School of Medicine, Taoyuan, Taiwan.
PMID