Adenocarcinoma of Pancreas mimicking pregnancy

Introduction: 45 year old lady, Para 2+2, background history of hypercholesterolemia and pancreatitis, presented to the ED with left sided pain, shoulder tip pain and amenorrhea for four weeks, and positive pregnancy test. Gynaecology team took over her care to investigate for an ectopic pregnancy. The serum beta Hcg was 2206mU/L, however, pelvic US showed an empty uterus with large amount of free fluid consistent with hemoperitoneum. She was taken for a diagnostic laparoscopy. Intraoperative findings included normal ovaries and tubes with no bleeding or hyperemia but spleen appeared large and inflamed with capsular rupture.
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - Category: OBGYN Authors: Tags: Session 18 – Complications and cases gone wrong Source Type: research