González QH, Bahena-Aponte JA, Ramírez AEM, Aldana-Martínez OH

Language: Spanish
References: 5
Page: 136-138
PDF size: 408.92 Kb.

ABSTRACT

Introduction: Familial adenomatous polyposis is an inherited autosomal dominant disease caused by the mutation of the gene APC in the chromosome 5q21, with an incidence of 1:10,000 cases, in which the risk to develop colorectal cancer is 100% at the age of 50 years. Case Report: In this study we present a 21 year old female who present with a history of colic, diffuse and intermittent abdominal pain with an intensity 7/10, of 2 months of evolution. Panendoscopy and colonoscopy were performed reporting inflammatory polyps in the gastric antrum and duodenum as well as colonic polyposis, respectively. Multiple biopsies were taken reporting adenomas with moderate dysplasia and posteriorly screening test to the rest of the family was carried out. We decide to proceed with surgical treatment, laparoscopic proctocolectomy with J pouch and ileoanal anastomosis. Conclusions: Although FAP is not frequent, important implications has been related in regard to it high risk of malignancy. In our study a typical case of FAP is presented, in which an appropriate diagnosis as well as an adequate treatment are fundamental, currently being the laparoscopic approach a safe and feasible alternative for the resolution of the pathology.

REFERENCES

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