Strangulation of a prolapsed rectal cancer in labor: A case report

Karamercan A., Tatlicioglu E., Ferahkose Z.

Journal of Reproductive Medicine for the Obstetrician and Gynecologist, cilt.52, sa.6, ss.545-547, 2007 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 52 Sayı: 6
  • Basım Tarihi: 2007
  • Dergi Adı: Journal of Reproductive Medicine for the Obstetrician and Gynecologist
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.545-547
  • Anahtar Kelimeler: Neoplastic, Pregnancy complications, Rectal cancer, Rectal prolapse
  • Gazi Üniversitesi Adresli: Evet

Özet

BACKGROUND: Colorectal cancer during pregnancy is uncommon. Most patients present in late pregnancy, and the tumor is localized to rectum in up to 85% of cases. Delayed diagnosis due to confusing significant lower gastrointestinal symptoms with pregnancy-associated gastrointestinal changes is a common feature. From the increasing intraabdominal pressure during delivery, a tumor can prolapse through the anus and develop incarceration and strangulation, but that is seen extremely rarely. CASE: A 33-year-old woman was found to have a prolapsing rectal cancer through the anus during delivery, and it progressed to incarceration. CONCLUSION: Colorectal cancer during pregnancy is rare and mostly localized to the rectum. To manage a strangulated rectal prolapse that occurs in labor, consideration should be given to perineal rectosigmoidectomy under general anesthesia. The choice of surgical procedure is controversial if the preoperative diagnosis is not clear. © Journal of Reproductive Medicine®, Inc.