A colorectal carcinoma imitating a primary ovarian carcinoma in a postpartum woman. (25th November 2013)

• Record Type: Journal Article
• Authors: Aiyer, Rohit; Sweetman, Kieran; Larsen-Disney, Peter; Fish, Andrew
• Is Part Of: BMJ case reports. Volume 2013
• Publication Date: 2013-11-25
• Subjects: Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2013-201055
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : 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.