Pancreatic Adenocarcinoma in a Pregnant Patient with Situs Inversus: a Case Report

This is a report on the case of pancreatic adenocarcinoma in 29-year-old pregnant woman with situs inversus. The main consideration was whether pregnancy should be preserved. Patient underwent pancreatoduodenectomy following pregnancy, abortion, and mastectomy for breast adenoma. Whipple pancreatoduodenectomy with open pancreaticogastrostomy was performed. Microscopy revealed clear cell adenocarcinoma with low-grade differentiation, which was confirmed by an immunohistochemical study. Patient feels good, without any signs of pain or decrease in life quality, four years after the operation. We think that such complex cases require the application of every available diagnostic method and that surgery should be performed by the most experienced surgeon