Aggressive Intestinal Symptoms Caused by Metastatic Tumors Originating from Primary Gastric Cancer in Pregnancy: A Case Report

Abstract. Gastric carcinoma is extremely rare in pregnancy and the prognosis for this malignancy tends to be dismal. We herein describe a case of gastric cancer in pregnancy to alert clinicians to this rare possibility. A 29-year-old woman developed abdominal spastic pain and diarrhea during the 26...

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Main Authors: Chunlin Zhao, Jingru Ji, Shenghui Lu, Fang Wang, Hailan Yang
Format: Article
Language:English
Published: Wolters Kluwer Health 2023-01-01
Series:Maternal-Fetal Medicine
Online Access:http://journals.lww.com/10.1097/FM9.0000000000000111
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author Chunlin Zhao
Jingru Ji
Shenghui Lu
Fang Wang
Hailan Yang
author_facet Chunlin Zhao
Jingru Ji
Shenghui Lu
Fang Wang
Hailan Yang
author_sort Chunlin Zhao
collection DOAJ
description Abstract. Gastric carcinoma is extremely rare in pregnancy and the prognosis for this malignancy tends to be dismal. We herein describe a case of gastric cancer in pregnancy to alert clinicians to this rare possibility. A 29-year-old woman developed abdominal spastic pain and diarrhea during the 26 weeks of gestation and her condition was confusing and hard to recognize. The patient was initially misdiagnosed as enterogastritis and inflammatory intestinal obstruction and was finally confirmed by exploratory laparotomy with intestinal and peritoneum metastases. Because the disease was not detected early enough and progressed rapidly, the pregnancy was terminated by cesarean section at 30 weeks of gestation, and then followed by systemic chemotherapy, but eventually succumbed to the lethal pneumonia. Therefore, it is of great significance to alert clinicians to note this rare possibility and to consider the differential diagnosis of this disease in pregnant women with a long course of gastrointestinal symptoms that cannot be explained by pregnancy alone, and cancer should be suspected and tested with sophisticated diagnostic procedures.
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issn 2096-6954
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publishDate 2023-01-01
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series Maternal-Fetal Medicine
spelling doaj-art-aba604c1a63f4e6aa53a82024962a35a2025-08-20T03:48:23ZengWolters Kluwer HealthMaternal-Fetal Medicine2096-69542641-58952023-01-0151444610.1097/FM9.0000000000000111202301000-00008Aggressive Intestinal Symptoms Caused by Metastatic Tumors Originating from Primary Gastric Cancer in Pregnancy: A Case ReportChunlin Zhao0Jingru Ji1Shenghui Lu2Fang Wang3Hailan Yang4Department of Obstetrics, First Hospital of Shanxi Medical University, Taiyuan, Shanxi 030000, China.Department of Obstetrics, First Hospital of Shanxi Medical University, Taiyuan, Shanxi 030000, China.Department of Obstetrics, First Hospital of Shanxi Medical University, Taiyuan, Shanxi 030000, China.Department of Obstetrics, First Hospital of Shanxi Medical University, Taiyuan, Shanxi 030000, China.Department of Obstetrics, First Hospital of Shanxi Medical University, Taiyuan, Shanxi 030000, China.Abstract. Gastric carcinoma is extremely rare in pregnancy and the prognosis for this malignancy tends to be dismal. We herein describe a case of gastric cancer in pregnancy to alert clinicians to this rare possibility. A 29-year-old woman developed abdominal spastic pain and diarrhea during the 26 weeks of gestation and her condition was confusing and hard to recognize. The patient was initially misdiagnosed as enterogastritis and inflammatory intestinal obstruction and was finally confirmed by exploratory laparotomy with intestinal and peritoneum metastases. Because the disease was not detected early enough and progressed rapidly, the pregnancy was terminated by cesarean section at 30 weeks of gestation, and then followed by systemic chemotherapy, but eventually succumbed to the lethal pneumonia. Therefore, it is of great significance to alert clinicians to note this rare possibility and to consider the differential diagnosis of this disease in pregnant women with a long course of gastrointestinal symptoms that cannot be explained by pregnancy alone, and cancer should be suspected and tested with sophisticated diagnostic procedures.http://journals.lww.com/10.1097/FM9.0000000000000111
spellingShingle Chunlin Zhao
Jingru Ji
Shenghui Lu
Fang Wang
Hailan Yang
Aggressive Intestinal Symptoms Caused by Metastatic Tumors Originating from Primary Gastric Cancer in Pregnancy: A Case Report
Maternal-Fetal Medicine
title Aggressive Intestinal Symptoms Caused by Metastatic Tumors Originating from Primary Gastric Cancer in Pregnancy: A Case Report
title_full Aggressive Intestinal Symptoms Caused by Metastatic Tumors Originating from Primary Gastric Cancer in Pregnancy: A Case Report
title_fullStr Aggressive Intestinal Symptoms Caused by Metastatic Tumors Originating from Primary Gastric Cancer in Pregnancy: A Case Report
title_full_unstemmed Aggressive Intestinal Symptoms Caused by Metastatic Tumors Originating from Primary Gastric Cancer in Pregnancy: A Case Report
title_short Aggressive Intestinal Symptoms Caused by Metastatic Tumors Originating from Primary Gastric Cancer in Pregnancy: A Case Report
title_sort aggressive intestinal symptoms caused by metastatic tumors originating from primary gastric cancer in pregnancy a case report
url http://journals.lww.com/10.1097/FM9.0000000000000111
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AT shenghuilu aggressiveintestinalsymptomscausedbymetastatictumorsoriginatingfromprimarygastriccancerinpregnancyacasereport
AT fangwang aggressiveintestinalsymptomscausedbymetastatictumorsoriginatingfromprimarygastriccancerinpregnancyacasereport
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