Fulminant Evolution of Stomach Cancer during Pregnancy

The incidence of stomach cancer associated to pregnancy has been reported as high as 1/1000, especially in some Asiatic regions. Its diagnosis poses a challenge for obstetricians since even in the advanced stages of the disease it is clinically characterized by nonspecific gastrointestinal symptoms such as epigastric pain, nausea, vomiting or early satiation, among other manifestations. Such alterations are easily attributable to the discomfort normally associated to pregnancy. We present the case of a 33-years old Caucasian pregnant woman, with an uneventful pregnancy until the moment that a gastric cancer was diagnosed in the 26th week of her fifth pregnant. A fulminant and catastrophic evolution followed the diagnosis.