Pregnancy with Large Intra-Abdominal Tumor – Case Report
Journal
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS)
Date Issued
2020-05-01
Author(s)
Jasna Bushinoska
Abstract
Abstract: The aim of this case report, is to make a Clinical presentation of a rare case of pregnancy, followed
by large intra-abdominal intestinal tumor, which compromised the pregnancy and it was the reason for
premature delivery. This tumor was diagnosed in 32 estational week of the pregnancy, when patient started
with the symptoms of sudden and extreme vomiting and collapsing. She was hospitalized at the Department of
Pathologic Pregnancies at Gynecology and Obstetrics Clinic in Skopje, after she was sent from a Clinical
Hospital- Shtip, were she was first hospitalized. During the hospitalization at our Department, she undergo
several Obstetrics and abdominal ultrasound examinations, hematological examinations, serological and
infective examinations, tumor markers, gastroscopy and MRI which shown large abdominal intra peritoneal
tumor located under the liver and gaster, dislocated the bowels toward the lower and the frontal part of the
abdomen. The patient was submitted to a rehydration and symptomatic therapy, double antibiotic, anti anemic
and thromboprophylactic therapy to relieve the symptoms of vomiting and exhaustion. A fetal maturation with
Flosteron 14mg was provided for two days, in 2 doses, within a period of 18 days. The premature delivery was
planned with a surgeon. The patient gave birth 21 days after her hospitalization in the 35-th week of the
pregnancy, with a Cesarean section and a medial infra umbilical incision. She gave birth to a living 2200 g
male, 44 cm long with APGAR score 7/8.
The Cesarean section was followed by opening of the upper abdomen with para- and supra umbilical incision
and after the large abdominal tumor was removed by abdominal surgeon, it was sent to Pathohysthological
examination. The pathohystologic diagnosis was: Adenocarcinoma intestini crassi Stage II b. In rare cases,
pregnancy can be compromised by large intra-abdominal tumors which can put the health of both, the mother
and the fetus in danger. The entire pregnancy period should be carefully observed, too, since the symptoms can
sometimes lead to interdisciplinary examinations and consultations with other specialists.
by large intra-abdominal intestinal tumor, which compromised the pregnancy and it was the reason for
premature delivery. This tumor was diagnosed in 32 estational week of the pregnancy, when patient started
with the symptoms of sudden and extreme vomiting and collapsing. She was hospitalized at the Department of
Pathologic Pregnancies at Gynecology and Obstetrics Clinic in Skopje, after she was sent from a Clinical
Hospital- Shtip, were she was first hospitalized. During the hospitalization at our Department, she undergo
several Obstetrics and abdominal ultrasound examinations, hematological examinations, serological and
infective examinations, tumor markers, gastroscopy and MRI which shown large abdominal intra peritoneal
tumor located under the liver and gaster, dislocated the bowels toward the lower and the frontal part of the
abdomen. The patient was submitted to a rehydration and symptomatic therapy, double antibiotic, anti anemic
and thromboprophylactic therapy to relieve the symptoms of vomiting and exhaustion. A fetal maturation with
Flosteron 14mg was provided for two days, in 2 doses, within a period of 18 days. The premature delivery was
planned with a surgeon. The patient gave birth 21 days after her hospitalization in the 35-th week of the
pregnancy, with a Cesarean section and a medial infra umbilical incision. She gave birth to a living 2200 g
male, 44 cm long with APGAR score 7/8.
The Cesarean section was followed by opening of the upper abdomen with para- and supra umbilical incision
and after the large abdominal tumor was removed by abdominal surgeon, it was sent to Pathohysthological
examination. The pathohystologic diagnosis was: Adenocarcinoma intestini crassi Stage II b. In rare cases,
pregnancy can be compromised by large intra-abdominal tumors which can put the health of both, the mother
and the fetus in danger. The entire pregnancy period should be carefully observed, too, since the symptoms can
sometimes lead to interdisciplinary examinations and consultations with other specialists.
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