Gastrointestinal bleeding in a pregnant woman: mucinous cystic neoplasm of pancreas mimicking gastrointestinal stromal tumor of stomach

• Published in: Journal of Hepato‐Biliary‐Pancreatic Surgery Vol. 16; no. 5; pp. 681 - 683
• Main Authors: Brown, T. H., Menon, V. S., Richards, D. G., Griffiths, A. P.
• Format: Journal Article
• Language: English
• Published: Japan Springer Japan 01.09.2009
• Subjects: Abdominal Surgery; Adult; Biopsy, Needle; Case Report of Interest; Diagnosis, Differential; Female; Gastric Mucosa - pathology; Gastroenterology; gastrointestinal hemorrhage; Gastrointestinal Hemorrhage - diagnosis; Gastrointestinal Hemorrhage - etiology; gastrointestinal stromal tumor; Gastrointestinal Stromal Tumors - complications; Gastrointestinal Stromal Tumors - diagnosis; Gastrointestinal Stromal Tumors - surgery; Gastroscopy - methods; Hepatology; Humans; Immunohistochemistry; Medicine; Medicine & Public Health; mucinous cystic neoplasm; Neoplasms, Cystic, Mucinous, and Serous - diagnosis; Neoplasms, Cystic, Mucinous, and Serous - pathology; Neoplasms, Cystic, Mucinous, and Serous - surgery; pancreas; Pancreatic Neoplasms - complications; Pancreatic Neoplasms - diagnosis; Pancreatic Neoplasms - pathology; Pancreatic Neoplasms - surgery; Pregnancy; Pregnancy Complications, Neoplastic - diagnosis; Pregnancy Complications, Neoplastic - surgery; Pregnancy Outcome; Pregnancy Trimester, First; Risk Assessment; stomach; Stomach Neoplasms - complications; Stomach Neoplasms - diagnosis; Stomach Neoplasms - pathology; Stomach Neoplasms - surgery; Surgical Oncology; Treatment Outcome; Pregnancy; Stomach; Mucinous cystic neoplasm; Pancreas; Gastrointestinal hemorrhage; Gastrointestinal stromal tumor
• ISSN: 0944-1166; 1436-0691; 1868-6982
• DOI: 10.1007/s00534-009-0159-6

A 38-year-old woman presented in early pregnancy with anemia due to an ulcerated gastric tumor which had the typical clinical presentation and endoscopic appearance of a gastric leiomyoma or gastrointestinal stromal tumor. At surgery this was subsequently found to be a mucinous cystic tumor of pancreas. Review of the literature shows that both gastrointestinal hemorrhage and infiltration of stomach are infrequent complications of this tumor.