title: A colorectal carcinoma imitating a primary ovarian carcinoma in a postpartum woman.
abstract: This is a case report of a 33-year-old woman who presented 5 days post-partum with abdominal distension, abdominal discomfort, increased bladder pressure and fatigue. These symptoms prompted a pelvic ultrasound and CT scan of the chest, abdomen and pelvis which showed a large 20 cm left-sided adnexal mass. Following this imaging, blood tests revealed elevated tumour markers CA-125 and lactate dehydrogenase, resulting in referral to and surgical intervention by the gynaecology oncology team. Pathology and immunohistochemistry indicated that the tumour was a metastasis from the colon, that prompted for colonoscopy which confirmed that the carcinoma was a metastases from the sigmoid.
authors.affiliation: Department of Obstetrics & Gynaecology, Royal Sussex County Hospital, East Sussex, Brighton, UK.
authors.forename: Rohit
authors.initials: R
authors.lastname: Aiyer
authors.forename: Kieran
authors.initials: K
authors.lastname: Sweetman
authors.forename: Peter
authors.initials: P
authors.lastname: Larsen-Disney
authors.forename: Andrew
authors.initials: A
authors.lastname: Fish
mesh_terms: D000328:Adult; D014408:Biomarkers, Tumor; D018394:CA-125 Antigen / Q000097:blood; D015179:Colorectal Neoplasms / Q000175:diagnosis* / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007770:L-Lactate Dehydrogenase / Q000097:blood; D009362:Neoplasm Metastasis / Q000175:diagnosis*; D010051:Ovarian Neoplasms / Q000175:diagnosis / Q000556:secondary*; D049590:Postpartum Period; D011247:Pregnancy; D014057:Tomography, X-Ray Computed
chemical_list: D014408:Biomarkers, Tumor; D018394:CA-125 Antigen; D007770:L-Lactate Dehydrogenase