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[Non familial juvenile multiple polyposis. A case report].

G Bannura1, D Soto, M T Vial

  • 1Servicio y Departamento de Cirugía y Anatomía Patológica, Hospital Clínico San Borja Arriarán, Campus Centro, Facultad de Medicina, Universidad de Chile.

Revista Medica De Chile
|December 1, 2001
PubMed
Summary
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A teenage girl with severe rectal bleeding and prolapse underwent surgery for over 200 polyps. Successful proctocolectomy resulted in a complete recovery, with the patient remaining asymptomatic after 24 months.

Area of Science:

  • Gastroenterology
  • Colorectal Surgery

Background:

  • Juvenile polyposis can present with significant gastrointestinal bleeding and prolapse.
  • Early diagnosis and intervention are crucial for managing severe pediatric gastrointestinal conditions.

Observation:

  • A 15-year-old female presented with severe hematochezia, anemia, hemodynamic decompensation, rectal prolapse, and spontaneous polyp expulsion.
  • No family history of polyposis was reported, and investigations excluded polyps in other digestive segments.
  • Colonoscopy revealed over 200 retention polyps with adenomatous areas and mild atypia from cecum to rectum.

Findings:

  • The patient underwent proctocolectomy with ileal pouch and sphincteric preservation using a mechanical suture.
  • Pathological analysis confirmed retention polyps with adenomatous changes and mild atypia.

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Implications:

  • Surgical intervention can effectively treat severe cases of juvenile polyposis with significant complications.
  • Successful ileal pouch reconstruction preserves sphincter function, leading to good long-term outcomes and quality of life.