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[The first case of cap polyposis in Denmark]
Thomas Blixt1, Susanne Eiholm, Birgitte Smith
1Tjørnelunden 38, 2635 Ishøj. tn@jtnautomatik.dk.
Ugeskrift for Laeger
|December 16, 2014
Summary
Cap polyposis, a rare condition causing rectal polyps, can present atypically with constipation. This case highlights the importance of accurate diagnosis and surgical treatment for refractory cases.
Area of Science:
- Gastroenterology
- Colorectal Surgery
- Pathology
Background:
- Cap polyposis (CP) is an inflammatory condition affecting the rectosigmoid, typically presenting with mucous to bloody diarrhea.
- It is often misdiagnosed due to its variable presentation and initial similarity to other inflammatory bowel diseases.
Observation:
- A case in Denmark presented with multiple rectosigmoid polyps causing constipation interspersed with periods of mucous and bloody diarrhea.
- The patient was initially misdiagnosed with ulcerative colitis and pseudopolyps.
- Despite medical treatment, symptoms persisted, necessitating further investigation.
Findings:
- Histological examination of polyp biopsies confirmed the diagnosis of Cap polyposis.
- The patient exhibited an atypical presentation with constipation as a predominant symptom.
Implications:
- This case underscores the diagnostic challenges associated with Cap polyposis, particularly its atypical presentations.
- Rectosigmoid resection proved to be a successful treatment modality for this refractory case.
- Accurate histological diagnosis is crucial for effective management of Cap polyposis.
