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Colonic polyposis in a 15 year-old boy: Challenges and lessons from a rural resource-poor area.

Publication ,  Journal Article
Kakembo, N; Kisa, P; Fitzgerald, T; Ozgediz, D; Sekabira, J
Published in: Ann Med Surg (Lond)
May 2016

INTRODUCTION: Colorectal polyps usually present with rectal bleeding and are associated with increased risk of colorectal carcinoma. Evaluation and management in resource-poor areas present unique challenges. PRESENTATION OF CASE: This 15 year-old boy presented with 9 years of painless rectal bleeding and 2 years of a prolapsing rectal mass after passing stool. He had 3 nephews with similar symptoms. On clinical assessment and initial exam under anesthesia, an impression of a polyposis syndrome was made and a biopsy taken from the mass that revealed inflammatory polyps with no dysplasia. He was identified during a pediatric surgical outreach to a rural area with no endoscopy, limited surgical services, and no genetic testing available, even at a tertiary center. He subsequently had a three-stage proctocolectomy and ileal pouch anal anastomosis with good outcome after referral to a tertiary care center. The surgical specimen showed many polyps scattered through the colon. DISCUSSION: In the absence of endoscopic surveillance and diagnostic services including advanced pathology and genetic testing, colorectal polyposis syndromes are a significant challenge if encountered in these settings. Reports from similar settings have not included this surgical treatment, often opting for partial colectomy. Nonetheless, good outcomes can be achieved even given these constraints. The case also illustrates the complexity of untreated chronic pediatric surgical disease in rural resource-poor areas with limited health care access. CONCLUSION: Polyposis syndromes in children present unique challenges in rural resource-poor settings. Good outcomes can be achieved with total proctocolectomy and ileal pouch anastomosis.

Duke Scholars

Published In

Ann Med Surg (Lond)

DOI

ISSN

2049-0801

Publication Date

May 2016

Volume

7

Start / End Page

75 / 78

Location

England

Related Subject Headings

  • 3202 Clinical sciences
 

Citation

APA
Chicago
ICMJE
MLA
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Kakembo, N., Kisa, P., Fitzgerald, T., Ozgediz, D., & Sekabira, J. (2016). Colonic polyposis in a 15 year-old boy: Challenges and lessons from a rural resource-poor area. Ann Med Surg (Lond), 7, 75–78. https://doi.org/10.1016/j.amsu.2016.03.027
Kakembo, Nasser, Phyllis Kisa, Tamara Fitzgerald, Doruk Ozgediz, and John Sekabira. “Colonic polyposis in a 15 year-old boy: Challenges and lessons from a rural resource-poor area.Ann Med Surg (Lond) 7 (May 2016): 75–78. https://doi.org/10.1016/j.amsu.2016.03.027.
Kakembo N, Kisa P, Fitzgerald T, Ozgediz D, Sekabira J. Colonic polyposis in a 15 year-old boy: Challenges and lessons from a rural resource-poor area. Ann Med Surg (Lond). 2016 May;7:75–8.
Kakembo, Nasser, et al. “Colonic polyposis in a 15 year-old boy: Challenges and lessons from a rural resource-poor area.Ann Med Surg (Lond), vol. 7, May 2016, pp. 75–78. Pubmed, doi:10.1016/j.amsu.2016.03.027.
Kakembo N, Kisa P, Fitzgerald T, Ozgediz D, Sekabira J. Colonic polyposis in a 15 year-old boy: Challenges and lessons from a rural resource-poor area. Ann Med Surg (Lond). 2016 May;7:75–78.
Journal cover image

Published In

Ann Med Surg (Lond)

DOI

ISSN

2049-0801

Publication Date

May 2016

Volume

7

Start / End Page

75 / 78

Location

England

Related Subject Headings

  • 3202 Clinical sciences