Ulcerative colitis with inflammatory polyposis in a teenage boy:A case report

Ulcerative colitis in addition to inflammatory polyposis is common.The benign sequel of ulcerative colitis can sometimes mimic colorectal carcinoma.This report describes a rare case of inflammatory polyposis with hundreds of inflammatory polyps in ulcerative colitiswhich was not easy to distinguish...

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Published inWorld journal of gastroenterology : WJG Vol. 21; no. 3; pp. 1044 - 1048
Main Authors Feng, Jin-Shan, Ye, Ying, Guo, Can-Can, Luo, Bo-Tao, Zheng, Xue-Bao
Format Journal Article
LanguageEnglish
Published United States Baishideng Publishing Group Inc 21.01.2015
Subjects
Adolescent
Biopsy
Case Report
Colectomy
Colitis, Ulcerative - complications
Colitis, Ulcerative - diagnosis
Colitis, Ulcerative - surgery
colitis;Inflammatory
Colonic Polyps - complications
Colonic Polyps - diagnosis
Colonic Polyps - surgery
Colonic Pouches
Colonoscopy
Humans
Male
polyposis;Teenager
Treatment Outcome
Ulcerative
Inflammatory polyposis
Teenager
Colorectal cancer
Ulcerative colitis
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Summary:Ulcerative colitis in addition to inflammatory polyposis is common.The benign sequel of ulcerative colitis can sometimes mimic colorectal carcinoma.This report describes a rare case of inflammatory polyposis with hundreds of inflammatory polyps in ulcerative colitiswhich was not easy to distinguish from other polyposis syndromes.A 16-year-old Chinese male suffering from ulcerative colitis for 6 mo underwent colonoscopy,and hundreds of polyps were observed in the sigmoid,causing colonic stenosis.The polyps were restricted to the sigmoid.Although rectal inflammation was detected,no polyps were found in the rectum.A diagnosis of inflammatory polyposis and ulcerative colitis was made.The patient underwent total colectomy and ileal pouch anal anastomosis.The patient recovered well and was discharged on postoperative day 8.Endoscopic surveillance after surgery is crucial as ulcerative colitis with polyposis is a risk factor for colorectal cancer.Recognition of polyposis requires clinical,endoscopic and histopathologic correlation,and helps with chemoprophylaxis of colorectal cancer,as the drugs used postoperatively for colorectal cancer,ulcerative colitis and polyposis are different.
Bibliography:Ulcerative colitis in addition to inflammatory polyposis is common.The benign sequel of ulcerative colitis can sometimes mimic colorectal carcinoma.This report describes a rare case of inflammatory polyposis with hundreds of inflammatory polyps in ulcerative colitiswhich was not easy to distinguish from other polyposis syndromes.A 16-year-old Chinese male suffering from ulcerative colitis for 6 mo underwent colonoscopy,and hundreds of polyps were observed in the sigmoid,causing colonic stenosis.The polyps were restricted to the sigmoid.Although rectal inflammation was detected,no polyps were found in the rectum.A diagnosis of inflammatory polyposis and ulcerative colitis was made.The patient underwent total colectomy and ileal pouch anal anastomosis.The patient recovered well and was discharged on postoperative day 8.Endoscopic surveillance after surgery is crucial as ulcerative colitis with polyposis is a risk factor for colorectal cancer.Recognition of polyposis requires clinical,endoscopic and histopathologic correlation,and helps with chemoprophylaxis of colorectal cancer,as the drugs used postoperatively for colorectal cancer,ulcerative colitis and polyposis are different.
Jin-Shan Feng;Ying Ye;Can-Can Guo;Bo-Tao Luo;Xue-Bao Zheng;Research Institute of Traditional Chinese Medicine,Guangdong Medical College;Department of Gastroenterology,Guangdong Medical College affiliated Lianjiang Hospital;Department of Pathology,School of Basic Medicine Sciences,Guangdong Medical College
Ulcerative colitis;Inflammatory polyposis;Teenager
ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
content type line 23
ObjectType-Report-1
ObjectType-Article-3
Correspondence to: Xue-Bao Zheng, MD, Research Institute of Traditional Chinese Medicine, Guangdong Medical College, 2 Wenmingdong Road, Zhanjiang 524023, Guangdong Province, China. xuebaozheng@sina.com
Telephone: +86-759-2388010 Fax: +86-759-2388009
Author contributions: Feng JS and Ye Y contributed equally to this work; Feng JS, Ye Y, Luo BT and Zheng XB performed research; Guo CC collected data; Feng JS and Ye Y wrote the paper.
ISSN:1007-9327
2219-2840
2219-2840
DOI:10.3748/wjg.v21.i3.1044