All issues > Volume 35(6); 1992

Case Report

J Korean Pediatr Soc. 1992;35(6):851-861. Published online June 15, 1992.

A Nonfamilial Case of Multiple Juvenile Polyposis

Jin Seop JS Shim¹, Sang Mook SM Choi¹, Eun Mi EM Kim¹, Jae Ock JO Park¹, Sang Jhoo SJ Lee¹, Chan Sup CS Shim², Chul C 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

Abstract

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.

Keywords :Multiple Juvenile polyposis