怀孕期间的非特异性表现可以掩盖上腹部肿瘤的早期体征和症状,使上腹部肿瘤的术前诊断变得困难。胰腺实性假乳头状瘤(SPN)是一种罕见的胰腺外分泌肿瘤,和SPN在怀孕期间与先兆子痫的组合甚至更罕见。
方法:在本文中,我们报告了一例SPN合并妊娠先兆子痫和突然破裂的巨大腹膜后SPN在剖腹产,导致危及生命的腹腔内出血。排除产科因素后,一个快速反应小组被激活,进行了多学科治疗(MDT),通过切除巨大的腹膜后肿瘤,患者得到了及时和适当的治疗,胰体和胰尾部分切除,还有腹腔引流.
■据我们所知,这是首例妊娠合并子痫前期的SPN病例,快速及时的MDT可以确保患者的生命。
结论:处理急腹症孕妇时,产科医生应与女性充分沟通,以确保获得最可能的诊断。如果在剖腹产时发生意外事故,保持冷静是很重要的,激活快速反应小组并寻求MDT以确保母亲的生命。
UNASSIGNED: Nonspecific presentations during pregnancy can mask early signs and symptoms of upper abdominal tumours, making the preoperative diagnosis of upper abdominal tumours difficult. Solid pseudopapillary neoplasm of the pancreas (SPN) is a rare exocrine tumour of the pancreas, and SPN in combination with preeclampsia during pregnancy is even rarer.
METHODS: In this paper, we report a
case of SPN combined with preeclampsia during pregnancy and sudden rupture of a giant retroperitoneal SPN during a caesarean section, which resulted in life-threatening intra-abdominal haemorrhage. After exclusion of obstetric factors, a rapid response team was activated, multidisciplinary treatment (MDT) was carried out, and the patient was treated promptly and appropriately by resection of the giant retroperitoneal tumour, partial resection of the body and tail of the pancreas, and abdominal drainage.
UNASSIGNED: To our knowledge, this is the first reported
case of SPN combined with preeclampsia during pregnancy, and a rapid and timely MDT could have ensured the patient\'s life.
CONCLUSIONS: When dealing with a pregnant woman with an acute abdomen, the obstetrician should communicate fully with the woman to ensure that the most likely diagnosis is obtained. In the event of an unexpected accident during a caesarean section, it is important to remain calm, activate the Rapid Response Team and seek an MDT to ensure the life of the mother.