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Colorectal cancer emergencies during pregnancy case reports
T Theodosopoulos1, A Marinis, N Dafnios
12nd Department of Surgery, Areteion Hospital, Athens Medical School, Athens University, Athens, Greece.
European Journal of Gynaecological Oncology
|October 3, 2006
Summary
Colorectal cancer emergencies in pregnancy are rare but serious. Management involves timely intervention, often including cesarean section and surgical procedures for both mother and fetus.
Area of Science:
- Obstetrics and Gynecology
- Surgical Oncology
- Gastroenterology
Background:
- Colorectal carcinoma (CRC) emergencies during pregnancy are exceedingly rare.
- This case series focuses on three pregnant patients in their third trimester presenting with advanced CRC complications.
Observation:
- Patient 1: Perforated rectal carcinoma causing acute abdomen.
- Patient 2: Sigmoid tumor leading to ileus.
- Patient 3: Cecal tumor causing deep venous thrombosis (DVT) by obstructing the iliac vein.
Findings:
- All patients underwent urgent cesarean section. Surgical management included Hartmann's procedure and colostomy for the first two, while the third had a delayed right colectomy.
- Restoration of the alimentary tract and colectomies were performed in subsequent stages, varying from three weeks to two months post-cesarean.
Implications:
- This highlights the critical need for prompt diagnosis and multidisciplinary management of CRC emergencies in pregnant patients.
- Effective treatment strategies balance maternal and fetal well-being with oncological outcomes.
- Understanding diagnostic challenges and therapeutic options is crucial for improving patient outcomes.
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