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Published on: July 6, 2017
[Sporadic colonic juvenile polyps in adults]
S Bonnefoy1, D Béchade, C Bertocchi
1Service de clinique médicale, hôpital du Val-de-Grâce, 74, boulevard de Port-Royal, 75230 Paris cedex 05, France.
Sporadic colonic juvenile polyps are rare in adults, presenting with symptoms like rectal bleeding or chronic diarrhea. These polyps, even in uncommon locations like the cecum, can mimic adenomas and pose challenges during endoscopic resection.
Area of Science:
- Gastroenterology
- Colorectal Surgery
- Pathology
Background:
- Sporadic colonic juvenile polyps (JPs) are typically diagnosed in children.
- Their occurrence in adults is considered uncommon, necessitating further investigation into adult JP characteristics.
Observation:
- This report details three adult cases of sporadic colonic JPs.
- Clinical presentations included occult blood in stool, rectal bleeding, and chronic diarrhea.
- Two JPs were located in the cecum, an unusual site for these lesions.
Findings:
- Endoscopic visualization revealed features indistinguishable from adenomatous polyps.
- Endoscopic resection was performed, with one case experiencing post-procedure bleeding.
Implications:
- Adult colonic JPs require consideration in the differential diagnosis of colorectal polyps, particularly with relevant symptoms.
- Awareness of uncommon locations, such as the cecum, is important for diagnostic accuracy.
- Potential complications during endoscopic management highlight the need for careful procedural planning.
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