Bacic Boris, Misic Zarko, Kovacic Vedran, Sprung Juraj
Department of Obstetrics and Gynecology, Split University Hospital, Split, Croatia.
Turk J Gastroenterol. 2009 Dec;20(4):276-8. doi: 10.4318/tjg.2009.0026.
We describe a rare presentation of acute cardiac tamponade in a patient with gastric cancer in pregnancy. A 32-year-old woman developed dyspnea and tachycardia during the 28(th) week of her pregnancy. These symptoms were interpreted initially by the patient as a condition related to the normal state of pregnancy; however, her symptoms persisted over the next two weeks, and she was hospitalized for evaluation. The diagnostic work-up revealed metastatic gastric carcinoma to the pericardium associated with pericardial tamponade. Large pericardial and pleural effusions were the primary causes of her shortness of breath. Gastric cancer is very rare in pregnancy, and therefore may be not be suspected by physicians. Diagnosis may be further delayed because of overlapping symptoms occurring during normal pregnancy (nausea, vomiting, and shortness of breath). All these factors may contribute to a very high mortality of this malignancy during pregnancy.
我们描述了一名妊娠期胃癌患者急性心脏压塞的罕见表现。一名32岁女性在怀孕28周时出现呼吸困难和心动过速。这些症状最初被患者认为是与正常妊娠状态相关的情况；然而，她的症状在接下来的两周持续存在，随后她因评估而住院。诊断检查发现心包转移性胃癌伴心包压塞。大量心包积液和胸腔积液是她呼吸急促的主要原因。胃癌在妊娠期非常罕见，因此医生可能不会怀疑。由于正常妊娠期间出现的重叠症状（恶心、呕吐和呼吸急促），诊断可能会进一步延迟。所有这些因素可能导致这种恶性肿瘤在妊娠期的死亡率非常高。
