Abstract

REANO PAREDES, Gustavo et al. Pancreatoduodenectomy for ampullary adenocarcinoma and and re-intervention for ganglinonar recurrency. Rev. gastroenterol. Perú [online]. 2014, vol.34, n.3, pp.247-253. ISSN 1022-5129.

A 30 years old woman in the 13 week of her second pregnancy who had severe anemia, upper gastrointestinal bleeding and weight loss. She was given the endoscopic diagnosis of a well differentiated ampullary adenocarcinoma. She underwent a pancreato duodenectomy during the 16 week of pregnancy without complications. After 4 months of follow up we identified a ganglionar local recurrence so that´s why she underwent a cesarean in the 34 week of pregnancy. The product was a healthy 2500 gr. newborn. We decided a reoperation for the resection of the recurrence and it was carried out successfully. Currently the patient has 36 months of follow up without evidence of recurrence and her baby has a normal grow up.

Keywords : Pancreatoduodenectomy; Pregnacy; Adenocarcinoma; Ampulla of Vater.

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