Case Report: Multiple Polyposis

Abstract

Introduction:  Hereditary gastrointestinal polyposis syndrome occurs in about 1% of all cases of colorectal cancer and is associated with a broad spectrum of extracolon tumors. FAP is the most common polyposis syndrome with a prevalence of 1 per 10,000 births and accounts for around 0.5 -1% of all cases of colorectal cancer. Symptoms rarely occur in children and adolescents until large and numerous adenomas cause rectal bleeding or even anemia. Colonoscopy screening with timely treatment of the identified lesions has led to a 55% reduction in CRC as the first sign that the patient is affected by FAP. Case Description:  A 17-year-old male patient presents with a bloody stool in the last 1 month ago. The patient had a history of intestinal tumor surgery 3 years ago. The physical examination indicated no abnormalities. Colonoscopy and other examinations showed multiple polyposis. The patient underwent a total colectomy with ileal-endorectal pull through. The patient requires lifelong surveillance due to a higher risk of rectal cancer associated with FAP and the preservation of their rectum.