[Rectal cancer in a pregnant woman, a case report].
A case of disseminated rectal cancer in a 32-year-old pregnant woman is described. Pain was her main complaint, but this had been ascribed to haemorrhoids and treated with topical agents. She was diagnosed with rectal cancer late in the third trimester when her midwife referred her for surgical assessment. Following caesarian section, diagnostic workup showed multiple liver metastases. Rectal cancer in pregnancy is rare, while haemorrhoids are common. We recommend keeping the differential diagnoses in mind and performing a digital rectal examination if pregnant women have anal symptoms.
Gynækologisk Obstetrisk Afdeling, Kolding Sygehus, Denmark. h.m.hojgaard@dadlnet.dk
Helle Manfeld
HM
Højgaard
Hans
H
Rahr
D000230:Adenocarcinoma / Q000175:diagnosis* / Q000188:drug therapy / Q000556:secondary / Q000601:surgery; D000328:Adult; D002585:Cesarean Section; D017024:Chemotherapy, Adjuvant; D003125:Colostomy; D003937:Diagnosis, Differential; D051517:Digital Rectal Examination; D005260:Female; D006484:Hemorrhoids / Q000175:diagnosis / Q000628:therapy; D006498:Hepatectomy; D006801:Humans; D008113:Liver Neoplasms / Q000188:drug therapy / Q000556:secondary / Q000601:surgery; D017699:Pelvic Pain / Q000209:etiology; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology / Q000601:surgery; D012004:Rectal Neoplasms / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology / Q000601:surgery