Cap Polyposis: A Case Report.

JNMA J Nepal Med Assoc

Department of Surgery, Patan Academy of Health Sciences, Lagankhel, Lalitpur, Nepal.

Published: June 2023

AI Article Synopsis

  • - Cap polyposis is a gastrointestinal condition characterized by multiple inflammatory polyps found in the distal colon and rectum, exhibiting symptoms similar to inflammatory bowel disease.
  • - A case study details an 18-year-old male who experienced painless rectal bleeding and underwent multiple polypectomies to address the polyps located in the recto-sigmoid area.
  • - Despite being a rare disease, cap polyposis can be effectively treated through laparoscopic resection.

Article Abstract

Unlabelled: Cap polyposis is a gastrointestinal disease with multiple inflammatory polyps between the distal colon and rectum. Its symptoms overlap with inflammatory bowel disease with typical endoscopic features of multiple sessile polyps in the rectum and sigmoid colon, located at the apices of transverse folds. Microscopically, the polyps consist of elongated, tortuous, and distended crypts covered by a "cap" of inflammatory granulation tissue. In this report, we present a case of a 18-year-old male patient who underwent polypectomy for polyposis in multiple settings. He presented with one year of painless rectal bleeding and polyposis in a recto-sigmoid area on colonoscopy, with a single polyp in the sigmoid area and multiple polyps in the rectum. He was managed with immediate and interval polypectomy. Though cap polyposis is rare, it can be cured as it is laparoscopically resectable.

Keywords: case reports; granulation tissue; inflammatory bowel diseases; polyps.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10276938PMC
http://dx.doi.org/10.31729/jnma.8177DOI Listing

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