Cap Polyposis: An Elusive Diagnosis in a Pediatric Patient Successfully Managed With Endoscopic Treatment

Sanjeevani Tomar1, Martin Maksimak2, David L Diehl3

  • 1Department of Internal Medicine, University at Buffalo, Buffalo, NY.

ACG Case Reports Journal
|January 26, 2023
PubMed

Insights

Cap polyposis, a rare rectal condition, involves inflammatory polyps with mucus. Endoscopic mucosal resection offers a viable treatment option when conservative medical management fails.

Area of Science:

  • Gastroenterology
  • Colorectal Surgery

Background:

  • Cap polyposis is a rare condition affecting the rectum or sigmoid colon.
  • It is characterized by inflammatory polyps coated in thick, fibrinopurulent mucus.

Observation:

  • Patients typically present with mucoid diarrhea and rectal bleeding.
  • Common treatments include antibiotics, steroids, infliximab, and aminosalicylates.

Findings:

  • Conservative medical management may fail in some cases of cap polyposis.
  • Endoscopic management, specifically wide-field endoscopic mucosal resection, is rarely reported but shown to be a viable option.

Implications:

  • Wide-field endoscopic mucosal resection presents a minimally invasive alternative for refractory cap polyposis.
  • This endoscopic approach may improve patient outcomes and reduce the need for surgical intervention.

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