Portillo-Jiménez A, Jiménez-Urueta PS, Zaragoza-Arévalo GR, Castañeda-Ortiz RA

Language: Spanish
References: 9
Page: 128-130
PDF size: 158.96 Kb.

ABSTRACT

Introduction: Familial adenomatous polyposis is a rare dominant autosomic disease. Its importance stems from the fact that it may progress to cancer. Its incidence is 1:5000 to 1:17000. The rule is that it is diagnosed in adulthood. It is difficult to detect in children. This is the first case diagnosed in our institution in the last 15 years. We did not find any report of this disease in the pediatric population in our country.
Clinical Case: An 11 year old female presented with hematochezia and intestinal obstruction. A colonoscopy was performed and two polyps were found in the rectum. She was seen in our institution with an intestinal intussusception which managed surgically with taxis and ileostomy. A repeat colonoscopy at our institution showed multiple polyps in the colon. A colectomy and an ileoproctoanastomosis without a pouch were performed. At two years follow-up the patient is in good health and has normal day and night fecal control.
Discussion: This disease is rare in México. We did not find any report of it in the last 10 years in the pediatric population. Diagnosis is based on the number of polyps found and their histological features. Treatment consists of a colectomy with an ileoproctoanastomosis and a J or S pouch to improve life quality. The experience at our institution without a pouch is good in other diseases and when we decided to apply the same principle to this patient we got a good result.

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