Kaisar Dauyey, Dinara Jumadilova


Introduction: Colorectal cancer (CRC) is generally expected among population above 60 years of age and rarely occurs in younger age groups. Its occurrence in young individuals is sporadic and has poor prognosis.

Presentation of the case: A 24-year old woman, previously healthy, delivered her first child and subsequently developed pelvic problems. Despite multiple surgeries and diagnostic work-up, which included cross-sectional imaging, the patient’s diagnosis remained unknown. At the time of diagnosis with a colonoscopic evaluation, the patient was in the late stage of disease and died few months later.

Conclusion: CRC should be in the differentials list in all patient cases, when suggestive symptoms present, regardless of age and other factors. Its association with pregnancy may obscure symptoms and delay the diagnosis.


Colorectal cancer, post-partum, young age

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Minter A, Malik R, Ledbetter L, Winokur TS, Hawn MT, Saif MW. Colon cancer in pregnancy. Cancer Control. 2005, 12:196–202.

Campos FGCMD, Figueiredo MN, Monteiro M, Nahas SC, Cecconello I. Incidence of colorectal cancer in young patients. Rev Colégio Bras Cir. 2017, 44:208–215.

Toosi M, Moaddabshoar L, Malek-Hosseini SA, Sasani MR, Mokhtari M, Mohammadianpanah M. Rectal cancer in pregnancy: A diagnostic and therapeutic challenge. J Egypt Natl Cancer Inst. 2014, 26:175–179.

Chou C-L, Chang S-C, Lin T-C, Chen W-S, Jiang J-K, Wang H-S, et al. Differences in clinicopathological characteristics of colorectal cancer between younger and elderly patients: an analysis of 322 patients from a single institution. Am J Surg. 2011, 202:574–582.

Campos FG. Colorectal cancer in young adults: A difficult challenge. World J Gastroenterol. 2017, 23:5041–5044.

Robson DE, Lewin J, Cheng AW, O’Rourke NA, Cavallucci DJ. Synchronous colorectal liver metastases in pregnancy and post-partum: sCRLMs in pregnancy and post-partum. ANZ J Surg. 2017, 87:800–804.

Gens HMC, Barbosa LER. Colorectal cancer in pregnant women. J Coloproctology Rio Jan. 2017, 37:255–262.

Than M, Witherspoon J, Shami J, Patil P, Saklani A. Diagnostic miss rate for colorectal cancer: an audit. Ann Gastroenterol. 2015, 28:94–98.

Baldwin M, Genant J, Braver J, Mortele KJ. Classic signs in gastrointestinal radiology. Appl Radiol. 2012, 41: 35A.

Halligan S, Wooldrage K, Dadswell E, Kralj-Hans I, von Wagner C, Edwards R, et al. Computed tomographic colonography versus barium enema for diagnosis of colorectal cancer or large polyps in symptomatic patients (SIGGAR): a multicentre randomised trial. Lancet Lond. Engl. 2013, 381: 1185–1193.

Allameh Z, Davari M, Emami MH. Sensitivity and Specificity of Colorectal Cancer Mass Screening Methods: A Systematic Review of the Literature. Iran J Cancer Prev. 2011, 4.


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