Reaño Paredes Gustavo, De Vinatea De Cárdenas José, Revoredo Rego Fernando, Kometter Barrios Fritz, Villanueva Alegre Luis, Arenas Gamio José, Uribe León Mónica
Servicio de Cirugía de Páncreas, Bazo y Retroperitoneo, Departamento de Cirugía General, Hospital Nacional Guillermo Almenara Irigoyen, EsSalud. Lima, Perú.
Servicio de Anatomía Patológica, Hospital Nacional Guillermo Almenara Irigoyen, EsSalud. Lima, Perú.
Rev Gastroenterol Peru. 2014 Jul;34(3):247-53.
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.