Misleading menorrhagia in a peri-menopausal woman with underlying bowel cancer: a case report
2008

Misleading Menorrhagia in a Woman with Bowel Cancer

publication Evidence: low

Author Information

Author(s): Soleymani majd Hooman, Ismail Lamiese, Datta Sujit, Doshi Sunil

Primary Institution: Milton Keynes General Hospital

Hypothesis

Can bowel cancer present with symptoms that mimic gynecological issues in peri-menopausal women?

Conclusion

The case highlights the importance of considering bowel pathology in women presenting with gynecological symptoms.

Supporting Evidence

  • The patient presented with symptoms suggestive of fibroids but had advanced bowel cancer.
  • Surgery revealed disseminated carcinoma rather than the expected benign condition.
  • Histology confirmed extensive infiltration by poorly differentiated adenocarcinoma.

Takeaway

A woman thought she had a common problem, but it turned out she had cancer. Doctors should check for serious issues before surgery.

Methodology

Case report detailing the patient's symptoms, surgical findings, and subsequent diagnosis.

Limitations

Imaging was not performed prior to surgery, which may have led to a missed diagnosis.

Participant Demographics

46-year-old Caucasian woman, housewife, with one child.

Digital Object Identifier (DOI)

10.1186/1757-1626-1-36

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