title: [Unclear per anum bleeding during pregnancy].
abstract: A 30-year-old, 7-months pregnant woman presented with per anum bleeding. Rectoscopy showed the cause to be a polyp the size of a fingertip 9 cm from the anus. Since the bleeding stopped spontaneously and therefore the need for radical intervention, and due to the advanced pregnancy stage, no biopsy was done. About 1 year later, the same patient experienced sharp pains and anal bleeding during defecation. A poorly defined neuroendocrine carcinoma was diagnosed. Seeking a prognosis optimal for the newborn child, the interdisciplinary decision was made for primary surgery with adjuvant chemotherapy. Other options for this malignancy during and after pregnancy are also discussed.
authors.affiliation: Abteilung für Allgemein-, Viszeral- und Thoraxchirurgie, Bundeswehrzentralkrankenhaus Koblenz.
authors.forename: H P
authors.initials: HP
authors.lastname: Kuhne
authors.forename: T
authors.initials: T
authors.lastname: Göller
authors.forename: I
authors.initials: I
authors.lastname: Schneider
authors.forename: T
authors.initials: T
authors.lastname: Bozkurt
authors.forename: H P
authors.initials: HP
authors.lastname: Becker
mesh_terms: D000328:Adult; D001706:Biopsy; D003937:Diagnosis, Differential; D018450:Disease Progression; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007413:Intestinal Mucosa / Q000473:pathology / Q000601:surgery; D007417:Intestinal Polyps / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D008207:Lymphatic Metastasis; D008551:Melena / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D009361:Neoplasm Invasiveness; D009367:Neoplasm Staging; D018358:Neuroendocrine Tumors / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D011247:Pregnancy; D011248:Pregnancy Complications / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D011252:Pregnancy Complications, Neoplastic / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D011644:Puerperal Disorders / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D012004:Rectal Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D012007:Rectum / Q000473:pathology / Q000601:surgery