Colorectal malignancy in pregnancy: A diagnostic clinical conundrum

R. F. Mahabane, M. C. Khaba, L. Matsela*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Introduction: The occurrence of colorectal cancer during pregnancy is rare and is associated with diagnostic and therapeutic challenges. This is a case report of sigmoid cancer during pregnancy, and a review of the literature. Case Report: A 38-year-old multiparous pregnant woman, in the 20th week of gestation presented with pain on both flanks which was radiating to the back, and vomiting for a period of 2 weeks. An emergency laparatomy, biopsy, and de-functioning colostomy was done. A second laparatomy resection of the sigmoid tumour and biopsy of the paraaortic lymph nodes was done. The patient is currently awaiting adjuvant chemotherapy at Steve Biko Hospital. Conclusion: This case proves that colorectal cancer can mimic the signs and symptoms of pregnancy and turns to present at an advance stage in these patients.

Original languageEnglish
Pages (from-to)31-32
Number of pages2
JournalObstetrics and Gynaecology Forum
Issue number4
Publication statusPublished - 2019
Externally publishedYes


  • Colorectal cancer
  • Diagnosis
  • Pregnancy
  • Treatment


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