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首页> 外文期刊>Obstetric medicine >Colon cancer presenting as pseudo-obstruction during pregnancy - A case report
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Colon cancer presenting as pseudo-obstruction during pregnancy - A case report

机译：在怀孕期间呈现为伪梗阻的结肠癌 - 案例报告

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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.
机译：妊娠结直肠癌的发生率为0.002-008％。由于结肠直肠癌的症状可以模仿妊娠的常见投诉，但诊断常被延迟。我们提出了一个29岁的案例，历史历史历史历史历史历史，患有腹痛的第二个三个月，无法忍受任何口服，没有排便在三周内。呈现的非对比MRI未能显示出阻碍质量。患者保守地治疗，用于推测初级梗阻继承以恶化慢性ondansetron使用和妊娠的便秘。在没有临床改善的情况下进行四天后，她的结肠镜检查显示完全阻碍乙状结肠肿块，其确认的活组织检查是原发性结肠腺癌。患者经历了总腹部结肠切除术。她被术后四周组成的医学肿瘤学并开始由5-氟尿嘧啶，白杨蛋白和草原组成的辅助化学疗法。

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