Delivery of a polyp.
BACKGROUND
Colorectal cancer is uncommon during pregnancy. Although there is overlap between symptoms of colon cancer and normal pregnancy, clinicians should be vigilant identifying those at risk and offer colorectal cancer screening when appropriate.


METHODS
Three women in their 30s passed or prolapsed adenomatous tissue per rectum during the second stage of labor. Further evaluation lead to the diagnosis of premalignant lesions or colorectal cancer in each case.


CONCLUSIONS
Colorectal cancer can present in young women of childbearing age, especially in those with a genetic predisposition. It may present with the prolapse or passage of tissue during vaginal delivery. Appropriate referral and screening are of critical importance for those at risk, especially those with a family history or pertinent physical findings.
Gonzalez
Anna B
AB
Department of Obstetrics and Gynecology, the University of Texas Southwestern Medical Center, Dallas, TX 75390-9032, USA. abgonz@parknet.pmh.org
Stafford
Irene
I
Mancuso
Peggy
P
Carney
Spencer
S
D000236:Adenoma / Q000473:pathology; D000328:Adult; D003106:Colon / Q000473:pathology; D003110:Colonic Neoplasms / Q000473:pathology; D003111:Colonic Polyps / Q000175:diagnosis*; D036861:Delivery, Obstetric; D005260:Female; D006801:Humans; D033162:Incidental Findings; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000175:diagnosis