Publication: Cap Polyposis: A Case Report
Date
2023
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract
Cap polyposis is a gastrointestinal disease with multiple inflammatory polyps between the distal colon and rectum. Its symptoms overlap with inflammatory bowel disease with typical endoscopic features of multiple sessile polyps in the rectum and sigmoid colon, located at the apices of transverse folds. Microscopically, the polyps consist of elongated, tortuous, and distended crypts covered by a “cap” of inflammatory granulation tissue. In this report, we present a case of a 18-year-old male patient who underwent polypectomy for polyposis in multiple settings. He presented with one year of painless rectal bleeding and polyposis in a recto-sigmoid area on colonoscopy, with a single polyp in the sigmoid area and multiple polyps in the rectum. He was managed with immediate and interval polypectomy. Though cap polyposis is rare, it can be cured as it is laparoscopically resectable.
Description
Tunam Khadka
Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal
Ganesh Kumar Giri
Department of Internal Medicine, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu Nepal
Pasang Sherpa
Department of Internal Medicine, Nepal Medical College and Teaching Hospital, Jorpati, Kathmandu, Nepal
Nischal Shrestha
Department of Surgical Gastroenterology, College of Medical Science and Teaching Hospital, Bharatpur, Chitwan, Nepal
Sanjaya Poudyal
Department of Surgery, Patan Academy of Health Sciences, Lagankhel, Lalitpur, Nepal