%0 Journal Article
%T Colon cancer presenting as pseudo-obstruction during pregnancy ¨C A case report
%A Mariam Fayek
%A Reeva Makhijani
%A Vicky H Bhagat
%J Archive of "Obstetric Medicine".
%D 2017
%R 10.1177/1753495X17704611
%X The incidence of colorectal cancer in pregnancy is between 0.002 and 0.008%. Diagnosis is often delayed as symptoms of colorectal cancer can mimic as common complaints of pregnancy. We present the case of a 29-year-old with a history of chronic constipation who presented in the second trimester with abdominal pain, inability to tolerate anything orally and no bowel movement in more than three weeks. Non-contrast MRI at presentation failed to show an obstructing mass. Patient was treated conservatively for presumed pseudo-obstruction secondary to worsening constipation from chronic ondansetron use and pregnancy. After four days without clinical improvement, she had a colonoscopy that revealed a completely obstructing sigmoid mass, which biopsies confirmed was a primary colorectal adenocarcinoma. The patient underwent a total abdominal colectomy. She was referred to medical oncology and began adjuvant chemotherapy consisting of 5-fluorouracil, leucovorin and oxaloplatin four weeks post-operatively
%K Oncology
%K gastroenterology
%K general medicine
%U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5714106/