Abstract
We report a case of juvenile polyposis coli in a 13 year old girl who initially complained of rectal bleeding and prolapse of polyps. Tube feeding with an elemental or a low residue diet and total parenteral nutrition were prescribed to treat the hypoproteinemia and anemia. A modified Soave’s operation was successfully performed. The polyps appeared in several different stages of development. A single dilated gland of the colonic mucosa, which was not grossly visible, was presumed to be the site of the initial lesion which developed into a typical juvenile polyp. Adenomatous tubules were found in some juvenile polyps. In this case of immunologic deficiency, it is not clear whether such was a primary or secondary phenomenon.
Similar content being viewed by others
References
Morson, B.C.: Some peculiarities in the histology of intestinal polyps. Dis. Col. Rect. 5: 337–344, 1962.
Roth, S.I. and Helwing, E.B.: Juvenile polyps of the colon and rectum. Cancer 16: 468–479, 1963.
McColl, I., Veale, A.M.O. and Morson, B.C.: Juvenile Polyposis Coli. Proc. Roy. Med. 57: 34–35, 1964.
Veale, A.M.O., McColl, I., Bussey, H.J.R. and Morson, B.C.: Juvenile Polyposis Coli. J. Med. Genet. 3: 5–16, 1966.
Smilow, P.C., Pryor, C.A. and Swinton, N.W.: Juvenile polyposis coli; A report of three patients in three generations of one family. Dis. Col. Rect. 9: 248–254, 1966.
Soper, R.T. and Kent, T.H.: Fatal juvenile polyposis in infancy. Surgery 69: 692–698, 1971.
Sachatello, C.R., Pickren, J.W. and Grace, J.T.: Generalized juvenile gastrointestinal polyposis. Gastroenterology 58: 699–708, 1970.
Gathricht, J.B. and Cofer, T.W.: Familial incidence of juvenile polyposis coli. Surg. Gynec. Obstet. 138: 185–188, 1974.
Stemper, T.J., Kent, T.I. and Summers, R.W.: Juvenile polyposis and gastrointestinal carcinoma. Ann. Intern. Med. 83: 639–646, 1975.
Velcek, F.T., Coopersmith, I.S., Chen, C.K., Kassner, E.G., Klotz, D.H. and Kottmeier, P.K.: Familial juvenile adenomatous polyposis. J. Pediatr. Surg. 11: 781–787, 1976.
Schwartz, A.M. and McCauley, G.K.: Juvenile gastrointestinal polyposis. Radiology 121: 441–444, 1976.
Sawada, T., Muto, T., Kusama, S., Shoji, R., Mochizuki, H., Kobayashi, Y. and Moriyama, S.: Two cases of juvenile polyposis coli in a family with special reference to microcarcinoma in associated adenomas.: I to Cho (Stomach and Intestine) 13: 1411–1421, 1978. (in Japanese with English Abst.)
Soave, F.: A new surgical technique for treatment of Hirschsprung’s disease. Surgery 56: 1007–1014, 1964.
Goodman, Z.D., Yardly, J.H. and Milligan, F.D.: Pathogenesis of colonic polyps in multiple juvenile polyposis; Report of a case associated with gastric polyps and carcinoma of the rectum. Cancer 43: 1096–1913, 1979.
Muto, T., Hara, K., Horie, Y., Kino, I., Miwa, T. Utsunomiya, J. and Aoki, N.: Juvenile polyposis coli, Report of a case. I to Cho (Stomach and Intestine) 10: 491–497, 1975 (in Japanese with English Abst.)
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Yoshida, H., Tomichi, N., Mori, S. et al. Juvenile polyposis coli. The Japanese Journal of Surgery 12, 274–279 (1982). https://doi.org/10.1007/BF02469561
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF02469561