Gastric Carcinoma In Pregnancy Presenting With Hyperemesis and Deep Vein Thrombosis: A Case Report

Dr. K. Kanakaseshu; Dr. Anisha Ramniklal Gala; Dr.Tarakeswari. S

Volume : VIII, Issue : IX, September - 2019

Gastric Carcinoma In Pregnancy Presenting With Hyperemesis and Deep Vein Thrombosis: A Case Report

Dr. K. Kanakaseshu, Dr. Anisha Ramniklal Gala, Dr. Tarakeswari. S

Abstract :

We present a case report of a 31 years primigravida with 29 weeks of gestation with deep vein thrombosis (DVT) and hyperemesis. Endoscopy was done in view of intractable vomiting and carcinoma of gastro-esophageal junction was diagnosed. An elective preterm caesarean section at 34 weeks followed by feeding jejunostomy and axillary lymphnode biopsy was done. Postpartum, palliative chemotherapy was given. Unfortunately, she succumbed three months after diagnosis. Pregnancy-associated gastric cancer is extremely rare. It is generally diagnosed at an advanced stage due to symptoms mimicking normal pregnancy. Gastric cancer in pregnancy should be considered in the differential diagnosis of wasting syndrome and intractable vomiting. There should be a low threshold for upper gastrointestinal endoscopy in such cases. In women with DVT in pregnancy, differential diagnosis should include malignancy and active search for the same should be done to diagnose it in early stages which can lead to better prognosis.