Gastrointestinal Pathology: Large Intestine: Polyposis Coli: (Juvenile or Adenomatous)

01 June 2011
Presented by Simon Cross


Miss Valerie W., aged 21, first came under medical care at the age of 13 when she was admitted to Putney Hospital and a right hemicolectomy performed for intussusception which had been initiated by one of the numerous polyps found inside the excised specimen. A few years later she began to pass blood and mucus per rectum and to prolapse several polyps out of the anus. On examination a mass of polyps in the rectum, most of which were smooth and bright red, were seen. Histological examinatiion of a few of these revealed juvenile polyps. Barium enema revealedmore polyps in the sigmoid and descending colon. As she was considered to have juvenile polyposis coli, which is not a pre-malignant condition, it was decided to remove the polyps without doing a colectomy. Two colotomies were performed and 15 polyps removed from the sigmoid colon. 180 were then removed from the rectum through a sigmoidoscope. The polyps were plucked off without any difficulty like grapes and very little bleeding resulted.


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