Abstract
A case of perforated gastric cancer associated with the delivery which was initialy misdiagnosed as abruption of placenta is presented.
A 28-year-old multipara presented with acute abdomen at the 37th gestational week. Her symptoms were accepted as abruption of placenta and induction of delivery was performed on the next day of admission. Abdominal pain, however, persisted thereafter, and an abdominal simple X-ray film revealed a free air. Laparotomy was carried out. Perforated lesion was observed at the vestible of the stomach and plombage of the lesion was performed. Postoperatively scirrhous carcinoma of the stomach was suspected by the finding of the progressive narrowing of the stomach on barium-meal study. Again laparotomy was performed with unsuccessful outcome because of extensive invasion of the carcinoma and the patient succumbed 13 months after the initial operation.
