Case number 1 : familial adenomatous polyposi

Abstract

OC, a 17-year-old female, was referred due to a strong family history of Familial Adenomatous Polyposis. Multiple relatives (mother, two uncles, several cousins and others) have had Familial Adenomatous Polyposis and had undergone proctocolectomy to prevent the benign polyps from undergoing malignant transformation. The patient presented with no signs and symptoms. On colonoscopy, multiple polyps were found at 10 cm, 15 cm, 40 cm, 80 cm, 110 cm and even in the caecum. The patient subsequently underwent elective Restorative Proctocolectomy with an Ileal Pouch Reservoir. No defunctioning ileostomy was created but the patient was instead managed on TPN (Total Parenteral Nutrition) post-operatively for 2 weeks until a gastrografin small bowel study confirmed the integrity of the pouch and the anastomosis. The patient will be followed up by means of yearly pouchoscopy to exclude the possibility of malignant change at the Transitional Zone between the anal canal and the pouch.