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BMJ Case Rep. 2010; 2010: bcr0220102768.
Published online 2010 August 26. doi:  10.1136/bcr.02.2010.2768
PMCID: PMC3030301
Reminder of important clinical lesson

Undiagnosed rectal tumour – a rare cause of obstructed labour in the second stage


Colorectal cancer presenting in pregnancy is extremely rare. Here the authors present the case of a 25-year-old woman who was diagnosed with second-stage obstructed labour secondary to a large rectal tumour. Decision for emergency caesarean section was made for labour dystocia.

Histology later confirmed villous adenocarcinoma of the rectum. The patient died from metastatic rectal cancer within 2 years of diagnosis.

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