Diffuse filiform polyposis of the small intestine without inflammatory bowel disease

World Journal of Surgical Oncology

Yu-Jie Zhang¹  Ze-Qin Zhang¹  Ren-Biao Chen²  Yi-Ping Zhu¹  Guan-Yu Wang¹  Jin-Wei Jiang¹ 

[1] Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, East Qingchun Road, Hangzhou 310016, Zhejiang Province, China;Department of Radiology, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou 310016, Zhejiang Province, China

关键词: Worm-like polyps;    melena;    Filiform polyposis;    Digital subtraction angiography;    anemia;    Abdominal angiographic embolization;   

Others  :  1146817
DOI  :  10.1186/1477-7819-12-396

 received in 2014-04-29, accepted in 2014-12-03,  发布年份 2014

【 摘 要 】

Filiform polyposis is a rare disease, which typically occurs in patients with inflammatory bowel disease. We report a case of filiform polyposis occurring in a 56-year-old man with no history or evidence of inflammatory bowel disease. The patient’s main symptoms were melena and anemia. We performed an emergency exploratory laparotomy, in which we observed worm-like polyps spread almost along the entire small intestine, and a partial resection of the small intestine to treat bleeding in the bowel was carried out. Two days later, the patient was noted to have melena again, and we performed an abdominal angiographic embolization, successfully stopping the bleeding. Histologic evaluation of the excised specimen revealed chronic inflammatory cells within the lamina propria without hyperplastic or adenomatous epithelial changes. Although the surgery was very successful, careful management of the patient was required, owing to the great risk of re-bleeding.

【 授权许可】

   
2014 Jiang et al.; licensee BioMed Central.

【 图 表 】

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