Emergency management of colorectal cancer is crucial due to high rates of complications and mortality.

• Up to one-third of CRC patients present with obstruction, perforation, or bleeding, leading to worse survival outcomes.
• Right colectomy with primary anastomosis is safe for selected patients, while diversion is advised for unstable cases.

Surgical strategies must balance swift intervention with oncologic integrity, using techniques like self-expandable metal stents for effective decompression.

• In rectal cancer, stabilize and decompress patients first before considering resection.