Metastatic gastric adenocarcinoma in a pregnant woman

Year 2018, Volume: 4 Issue: 4, 444 - 447, 04.10.2018

Raikan Büyükavcı Hakan Apaydın Semra Aktürk

https://doi.org/10.18621/eurj.368205

Abstract

Gastric cancers occur in only 0.025% to 0.1% of all
pregnancies. We present a pregnant woman with gastric adenocarcinoma associated
with bone metastasis. She is 36-year-old (gravida:4, para:0) 16-week pregnancy,
complaining of nausea, vomiting, weight loss (~15 kg) and low back pain.
Although the patient considered the condition to be related with pregnancy and
underestimated its importance. She had high erythrocyte sedimentation rate (107
mm/h) and anemia (hemoglobin = 9.4 gr/dl). Lumbar magnetic resonance imaging showed
L4 vertebrae malign compression fracture and diffuse bone metastasis. Because
of the patient's melena, esophagogastroduodenoscopy was performed and biopsy
result was reported as stomach adenocarcinoma. It is important to evaluate the
symptoms of low back pain and pregnancy related symptoms carefully and do not
cause delays in diagnosis due to overlapping symptoms. 

Keywords

pregnancy, lower back pain, stomach neoplasms

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