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[Colonic carcinoma during pregnancy]

J Helou1, S Nakhleh, E Shalev

  • 1Dept. of Obstetrics and Gynecology, St. Vincent de Paul Hospital, Nazareth and Ha'emek Medical Center, Afula.

Harefuah
|February 1, 1994
PubMed
Summary

This case report details adenocarcinoma of the splenic flexure during pregnancy. Early diagnosis of colon cancer in pregnant patients is crucial due to potential complications and rarity.

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Area of Science:

  • Gastroenterology
  • Oncology
  • Obstetrics

Background:

  • Colorectal cancer during pregnancy is exceptionally rare.
  • Pregnancy can mask or delay the diagnosis of gastrointestinal malignancies.
  • This report presents the 24th documented case of splenic flexure adenocarcinoma in a pregnant patient.

Observation:

  • A 27-year-old woman presented at 34 weeks gestation with abdominal pain and vomiting.
  • Postpartum intestinal obstruction led to emergency laparotomy.
  • A large splenic flexure tumor with retroperitoneal extension was identified.

Findings:

  • The patient was diagnosed with adenocarcinoma of the splenic flexure.
  • Despite treatment, she succumbed to metastatic disease one year later.
  • Delayed diagnosis and complications are noted as significant challenges in pregnant patients with colon cancer.

Implications:

  • Colonic carcinoma must be considered in the differential diagnosis of abdominal symptoms during pregnancy.
  • Increased vigilance and timely diagnostic procedures are essential for pregnant women presenting with relevant symptoms.
  • This case underscores the critical need for awareness regarding rare but serious conditions in obstetric patients.

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