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CASE REPORT
A colorectal carcinoma imitating a primary ovarian carcinoma in a postpartum woman
  1. Rohit Aiyer,
  2. Kieran Sweetman,
  3. Peter Larsen-Disney,
  4. Andrew Fish
  1. Department of Obstetrics & Gynaecology, Royal Sussex County Hospital, East Sussex, Brighton, UK
  1. Correspondence to Dr Rohit Aiyer, rohitaiyer{at}gmail.com

Summary

This is a case report of a 33-year-old woman who presented 5 days post-partum with abdominal distension, abdominal discomfort, increased bladder pressure and fatigue. These symptoms prompted a pelvic ultrasound and CT scan of the chest, abdomen and pelvis which showed a large 20 cm left-sided adnexal mass. Following this imaging, blood tests revealed elevated tumour markers CA-125 and lactate dehydrogenase, resulting in referral to and surgical intervention by the gynaecology oncology team. Pathology and immunohistochemistry indicated that the tumour was a metastasis from the colon, that prompted for colonoscopy which confirmed that the carcinoma was a metastases from the sigmoid.

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