title: [Pancreatoduodenectomy for ampullary adenocarcinoma and and re-intervention for ganglinonar recurrency].
abstract: A 30 years old woman in the 13 week of her second pregnancy who had severe anemia, upper gastrointestinal bleeding and weight loss. She was given the endoscopic diagnosis of a well differentiated ampullary adenocarcinoma. She underwent a pancreato duodenectomy during the 16 week of pregnancy without complications. After 4 months of follow up we identified a ganglionar local recurrence so that's why she underwent a cesarean in the 34 week of pregnancy. The product was a healthy 2500 gr. newborn. We decided a reoperation for the resection of the recurrence and it was carried out successfully. Currently the patient has 36 months of follow up without evidence of recurrence and her baby has a normal grow up.
authors.affiliation: Servicio de Cirugía de Páncreas, Bazo y Retroperitoneo, Departamento de Cirugía General, Hospital Nacional Guillermo Almenara Irigoyen, EsSalud. Lima, Perú.
authors.forename: Gustavo
authors.initials: G
authors.lastname: Reaño Paredes
authors.affiliation: Servicio de Cirugía de Páncreas, Bazo y Retroperitoneo, Departamento de Cirugía General, Hospital Nacional Guillermo Almenara Irigoyen, EsSalud. Lima, Perú.
authors.forename: José
authors.initials: J
authors.lastname: De Vinatea De Cárdenas
authors.affiliation: Servicio de Cirugía de Páncreas, Bazo y Retroperitoneo, Departamento de Cirugía General, Hospital Nacional Guillermo Almenara Irigoyen, EsSalud. Lima, Perú.
authors.forename: Fernando
authors.initials: F
authors.lastname: Revoredo Rego
authors.affiliation: Servicio de Cirugía de Páncreas, Bazo y Retroperitoneo, Departamento de Cirugía General, Hospital Nacional Guillermo Almenara Irigoyen, EsSalud. Lima, Perú.
authors.forename: Fritz
authors.initials: F
authors.lastname: Kometter Barrios
authors.affiliation: Servicio de Cirugía de Páncreas, Bazo y Retroperitoneo, Departamento de Cirugía General, Hospital Nacional Guillermo Almenara Irigoyen, EsSalud. Lima, Perú.
authors.forename: Luis
authors.initials: L
authors.lastname: Villanueva Alegre
authors.affiliation: Servicio de Anatomía Patológica, Hospital Nacional Guillermo Almenara Irigoyen, EsSalud. Lima, Perú.
authors.forename: José
authors.initials: J
authors.lastname: Arenas Gamio
authors.affiliation: Servicio de Cirugía de Páncreas, Bazo y Retroperitoneo, Departamento de Cirugía General, Hospital Nacional Guillermo Almenara Irigoyen, EsSalud. Lima, Perú.
authors.forename: Mónica
authors.initials: M
authors.lastname: Uribe León
mesh_terms: D000230:Adenocarcinoma / Q000556:secondary / Q000601:surgery*; D000328:Adult; D014670:Ampulla of Vater; D003138:Common Bile Duct Neoplasms / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008207:Lymphatic Metastasis; D009364:Neoplasm Recurrence, Local / Q000601:surgery*; D016577:Pancreaticoduodenectomy; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000601:surgery*; D012086:Reoperation