title: Islet cell tumor presenting as massive upper gastrointestinal bleeding in pregnancy.
abstract: A 27-yr-old woman presented in the 6th month of pregnancy with massive gastrointestinal bleeding due to erosion of a pancreatic islet cell tumor into the duodenum. Most islet cell tumors present with neuroendocrine manifestations; massive bleeding is a very rare presenting sign. This is the first reported case of a pregnant woman with massive bleeding from islet cell tumor erosion who underwent successful resection and delivery of a healthy term child 3 months later.
authors.affiliation: Division of Gastroenterology, Mount Sinai Hospital, New York, New York.
authors.forename: A M
authors.initials: AM
authors.lastname: Goldenberg
authors.forename: D H
authors.initials: DH
authors.lastname: Present
authors.forename: J
authors.initials: J
authors.lastname: Bauer
authors.forename: R
authors.initials: R
authors.lastname: Gordon
mesh_terms: D007516:Adenoma, Islet Cell / Q000150:complications* / Q000473:pathology / Q000601:surgery; D000328:Adult; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D010190:Pancreatic Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000209:etiology*; D011252:Pregnancy Complications, Neoplastic / Q000473:pathology / Q000601:surgery