Case Report
Volume: 4 | Issue: 5 | Published: Jun 11, 2020 | Pages: 183 - 185 | DOI: 10.24911/ejmcr/173-1588930628
Challenges associated with colorectal cancer in pregnancy: an unusual disease with usual presentation
Authors: Rabeeaa Farrukh , Hina Khan , Summaya Saeed , Khursheed A. Samo , Amjad Siraj Memon
Article Info
Authors
Rabeeaa Farrukh
Resident, Department of General Surgery Unit 3, Dr Ruth KM Pfau Civil Hospital Karachi, Pakistan
Hina Khan
Senior Registrar, Department of General Surgery Unit 3, Dow University of Health Sciences, Dr Ruth KM Pfau Civil Hospital Karachi, Pakistan
Summaya Saeed
Assistant Professor, Department of General Surgery Unit 3, Dow University of Health Sciences, Dr Ruth KM Pfau Civil Hospital Karachi, Pakistan
Khursheed A. Samo
Assistant Professor, Department of General Surgery Unit 3, Dow University of Health Sciences, Dr Ruth KM Pfau Civil Hospital Karachi, Pakistan
Amjad Siraj Memon
Head of Department and Principal Of DUHS, Department of General Surgery Unit 3, Dow University of Health Sciences, Dr Ruth KM Pfau Civil Hospital Karachi, Pakistan
Publication History
Received: May 08, 2020
Accepted: May 18, 2020
Published: June 11, 2020
Abstract
Background: Globally, colorectal cancer is a substantial health burden. This case will discuss about challenges during management due to pregnancy. To the best of authorsÂ’ knowledge, very few cases of this type have been reported in the literature. Case Presentation: A 20-year-old married, pregnant female, second gravid and para 1 presented during her 34th week of gestation, with complaints of something coming out of the anus, bleeding per rectum, abdominal distension, and relative constipation for 8 months. Carcinoembryonic antigen was normal. CT scan and MRI showed circumferential mural thickening of length 7.5 cm involving anal canal and anorectal junction, associated with perilesional fat stranding. The neoadjuvant chemoradiotherapy was advised after c section. Conclusion: This case report highlights the fact that early detection and management of colorectal cancer during pregnancy can prevent morbidity and mortality.
Keywords: Colorectal cancer, Pregnancy, case report, green
