Rectal cancer in pregnancy: A diagnostic and therapeutic challenge

Toosi, Monireh; Moaddabshoar, Leila; Malek-Hosseini, Seyed Ali; Sasani, Mohammad Reza; Mokhtari, Maral; Mohammadianpanah, Μohammad

doi:10.1016/j.jnci.2014.03.003

Cited by 18 publications

(23 citation statements)

References 21 publications

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“…In Bernstein's study of CRC during pregnancy, presentation with advanced disease (stage III and IV) was found in 59% of cases [3]. Advanced disease at presentation has also been reported in several case reports of CRC during pregnancy [8][9][10]. Similarly, in our study the majority of patients (73.2%) presented with advanced disease.…”

Section: Presentation and Diagnosissupporting

confidence: 86%

Management and outcome of colorectal cancer during pregnancy: report of 41 cases

Kocián

Haan

Cardonick

et al. 2018

Acta Chirurgica Belgica

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Section: Presentation and Diagnosissupporting

confidence: 86%

Management and outcome of colorectal cancer during pregnancy: report of 41 cases

Kocián

Haan

Cardonick

et al. 2018

Acta Chirurgica Belgica

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“…This adverse event could also probably be related to the LGE. Two patients diagnosed with colorectal adenocarcinoma during pregnancy underwent elective abortion within one week of LGE in gestational week 16 and 20 [ 42 , 43 ] and in one patient labor was induced with prostaglandin in gestational week 26 [ 44 ]. These three adverse events were therefore classified as unlikely related to the LGE.…”

Section: Resultsmentioning

confidence: 99%

Does lower gastrointestinal endoscopy during pregnancy pose a risk for mother and child? – a systematic review

et al. 2015

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BackgroundGastrointestinal endoscopy plays a crucial role in the diagnosis and management of gastrointestinal disorders. When endoscopy is indicated during pregnancy, concerns about the effects on pregnancy outcome often arise. The aim of this study was to assess whether lower gastrointestinal endoscopies (LGEs) across all three trimesters of pregnancy affects pregnancy outcomes.MethodsA systematic literature search was performed using Embase (including MEDLINE), Medline OvidSP, Cochrane Central Register of Controlled Trials, Web-of-Science, Google scholar and Pubmed. All original research articles from 1990 until May 2014 involving pregnant women who underwent LGE for any indication were included. Adverse pregnancy events like spontaneous abortion, preterm birth and fetal demise were assessed for a temporal and etiological relation with the LGE.ResultsIn total, 5514 references were screened by two independent reviewers. Eighty-two references met the inclusion criteria and were selected. Two retrospective, controlled studies, one uncontrolled study and 79 case reports were identified. In the three studies, birth outcomes did not differ between women undergoing LGE during pregnancy, compared to women that had an indication for LGE but in whom LGE was not performed because of pregnancy. In 79 case reports, 92 patients are described who underwent 100 LGE’s during pregnancy. LGEs performed in all trimesters (n = 32, 39 and 29) were both temporally and etiologically related to 1, 3 and 2 adverse events, respectively.ConclusionBased on the available literature, this review concludes that lower gastrointestinal endoscopy during pregnancy is of low risk for mother and child in all three trimesters of pregnancy.Electronic supplementary materialThe online version of this article (doi:10.1186/s12876-015-0244-z) contains supplementary material, which is available to authorized users.

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“…Increased risk of placental abruption as a consequence of mechanical pressure against the uterus makes colonoscopy relatively contraindicated. CT is not recommended either [19].…”

Section: Discussionmentioning

confidence: 99%

Nonobstetrical Acute Abdomen during Pregnancy as a Consequence of Colorectal Carcinoma Perforation: Case Report and Review of the Literature

Žegarac

Duić

Stasenko

2019

Case Reports in Gastrointestinal Medicine

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Colorectal carcinoma is a rare but potentially fatal disease complicating pregnancy. It occurs most frequently in patients aged 50, although some studies report increasing incidence in women under the age of 40. Diagnosis of colorectal cancer during pregnancy is usually made at an advanced stage due to unspecific symptoms. We will present a case of an acute abdomen during pregnancy due to colorectal carcinoma perforation in a 33-year-old patient in her 26th week of gestation. Because of her abdominal condition, left hemicolectomy with colostomy was performed. Two hours after surgery, the patient gave birth to a male child weighing 910 g with an Apgar score of 2/6. The pathohistological finding indicated adenocarcinoma of the colon in Dukes stage B.

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Rectal cancer in pregnancy: A diagnostic and therapeutic challenge

Abstract: This case suggests that colorectal cancer can mimic the signs and the symptoms of pregnancy and tends to present at an advanced stage in pregnant women.

Cited by 18 publications

References 21 publications

Management and outcome of colorectal cancer during pregnancy: report of 41 cases

Management and outcome of colorectal cancer during pregnancy: report of 41 cases

Does lower gastrointestinal endoscopy during pregnancy pose a risk for mother and child? – a systematic review

Nonobstetrical Acute Abdomen during Pregnancy as a Consequence of Colorectal Carcinoma Perforation: Case Report and Review of the Literature

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