Familial adenomatous polyposis: a case study.
Joseph Yorke1, Francis Akwaw Yamoah1, Ronald Awoonor-Williams1
1General Surgery Unit, Directorate of Surgery, Komfo Anokye Teaching Hospital (KATH), Kumasi, Ghana.
Journal of Surgical Case Reports
|November 2, 2020
Summary
Familial adenomatous polyposis (FAP) is a rare inherited condition. This case report highlights the first documented FAP patient in Ghana, emphasizing the need for accessible diagnostic services.
Area of Science:
- Gastroenterology
- Oncology
- Genetics
Background:
- Familial adenomatous polyposis (FAP) is an inherited gastrointestinal syndrome.
- Untreated FAP significantly increases colorectal carcinoma risk by age 40.
- FAP incidence in developing nations, such as Ghana, remains largely uncharacterized.
Observation:
- A 22-year-old Ghanaian female presented with severe lower gastrointestinal bleeding.
- Investigations revealed findings consistent with FAP.
- The patient underwent surgical intervention.
Findings:
- This report details the first documented case of FAP in Ghana.
- The case challenges assumptions about the scarcity of colonic polyps in African populations.
- Early diagnosis and management are crucial for FAP patients.
Implications:
- Highlights the critical need for advanced endoscopic services in Ghana.
- Underscores the importance of considering FAP in young patients with GI symptoms.
- Suggests a potential underdiagnosis of FAP in regions with limited healthcare access.
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