Open AccessA Case Report on Yolk Sac Tumour in Pregnancy
Author(s) -
Deepika Kapil,
Uday Mahajan
Publication year - 2021
Publication title -
international journal of science and healthcare research
Language(s) - English
Resource type - Journals
ISSN - 2455-7587
DOI - 10.52403/ijshr.20210451
Subject(s) - yolk sac , exploratory laparotomy , medicine , laparotomy , abdomen , surgery , uterus , umbilicus (mollusc) , mesothelium , pregnancy , ovary , abdominal pain , transverse colon , lesser sac , ascites , peritoneum , gastroenterology , embryo , genetics , biology , microbiology and biotechnology , stomach
We present a case of 29-year-old female with chief complaint of amenorrhea since 2-months and pain abdomen for 15 daysThere was a sudden worsening in the condition of patient as Hb of patient fell from 9.6 g/dl to 6 g/dl and ascites of the patient increased. Hence, the patient was decided for exploratory laparotomy after giving 2 blood transfusions. On opening the abdomen, there was about 3 liter of ascitic fluid which was hemorrhagic. Caking of omentum with dense adhesions of omentum with uterus and ascending and transverse colon was present. Grossly tumor was smooth surfaced with no superficial vessels over it. There were multiple papillary excrescences seen on the surface of tumor.Left tube could not be visualized due to large ovarian mass right tube and ovary was normal. TAH with BSO with total omentectomy was done. Three units of fresh frozen plasma and three units of whole blood were given during surgery.On histopathology examination, it was confirmed as yolk sac tumour.Conclusion: There should be further discussion regarding the management of advanced yolk sac tumours in pregnancyKeywords: Yolk Sac Tumour, Pregnancy, Amenorrhea.