| A Nonfamilial Case of Multiple Juvenile Polyposis |
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Jin Seop Shim1, Sang Mook Choi1, Eun Mi Kim1, Jae Ock Park1, Sang Jhoo Lee1, Chan Sup Shim2, Chul Moon3 |
1Department of Pediatrics, College of Medicine, Soon Chun Hyang University, Seoul, Korea
2Department of Internal Medicine, College of Medicine, Soon Chun Hyang University, Seoul, Korea
3Department of Surgery, College of Medicine, Soon Chun Hyang University, Seoul, Korea |
| 비가족성 다발성 연소성 결장 용종증 1례 |
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심진섭1, 최상묵1, 김은미1, 박재옥1, 이상주1, 심찬섭2, 문철3 |
1순천향대학 의과대학 소아과학교실
2순천향대학 의과대학 내과학교실
3순천향대학 의과대학 외과학교실 |
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| Abstract |
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Juvenile polyps are common and cause painless hematochezia in preschool and school-aged children. Juvenile polyps of the colon are usually solitary and considered to be inflammatory of hamatomatous in nature without malignant potential.
Multiple juvenile polyposis is characterized by large numbers withch is spread to the colon or throughout the gastrointestinal tract.
We experienced a nonfamilial multiple juvenile polyposis in a 12 yr-old male patient who had hospitalized because of intermittent rectal bleeding accompanied with crampy abdominal pain for a year. Double-contrast barium enema demonstrated multiple polypoid lesions on the entire colon and rectum. On coonoscopy, numerous polyps were seen and twenty-five of these were removed through three times. All of the polyps removed were seen and twenty-five of these were removed through three times. All of the polyps removed were typical juvenile retension plyps microscopically. Colectomy and sigmoidoscopic polypectomy were performed.
Postoperative course was not complicated but 5 months later abdominal pain became worse, so colonoscopic polypectomy was performed again. After the polypectomy, he was discharged against advice. |
| Key Words:
Multiple Juvenile polyposis |
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