[Term pregnancy, a factor favoring the bleeding of a gastroduodenal ulcer. A case report]

Abstract

We present the case of a 31-years-old woman, in the 37th week of pregnancy who was urgently hospitalized in our section, with superior digestive bleeding, in a serious state, externalized in hematemesis and melena. The pregnancy being in due time, with sings of secondary fetal pain, probably due to mother's serious anemia, we proceeded to the extraction of the foetus using caesarean section, followed by hemostasis "in situ" of a bleeding duodenal ulcer and the excision of another healed ulcerous lesion (ulcer in mirror). The postoperative evolution was favorable both for mother and new-born child. Reexamined after two years, the patient didn't present subjective pains of an ulcerous type any more, neither lesions visible at an endoscopic examination.