Korean Journal of Gastrointestinal Endoscopy 1996;16(5): 787-792.
증례 : 식도 위장관 ; Segmental Non-familial Colonic Polyposis 1예 ( Case Reports : Esophagus , Stomach & Intestine ; A Case Report of Segmental Non-Familial Colonic Polyposis )
민영일, 정훈용, 양석균, 박선미, 채희복, 홍원선, 유교상 (Young Il Min, Hwoon Yong Jung, Suk Kyun Yang, Seon Mee Park, Hee Bok Chae, Weon Seon Hong and Kyo Sang Yoo)
Abstract
Segmental non-familial colonic polyposis was first reported by Chiang et al. in 1992. It is characterized by segmental distributlion of colonic polyposis usually confined to the descending colon, absence of family history of polyposis, large bowel malignancy, inflammatory bowel disease, or other pre-malignant colonic conditions. We experienced a nineteen-year-old male, who suffered from 2 years watery diarrhea about five to ten times a day, intermittent hematochezia, and weight loss of 12 kg in a year. He had no family history of colonic polyps, colon cancer, or inflammatory bowel disease. Colon study showed variable sized multiple colonic polyps on the rectum and sigmoid colon. Colonoscopy showed that 0.5 to 1.5 cm sized multiple polyps were scattered from the 6cm site to the 30cm site above the anal verge and the intervening mucosa between polyps was edematous. Colonoscopic biopsy revealed hyperplastic, adenomatous, and mixed hyperplastic and adenomatous polyps, After partial colectomy, we discovered 169 polyps from the resected specimen. After operation, diarrhea and abdominal pain had disappeared. We experienced a case of segmental non-familial polyposis and report it with review of the literatures related to it. (Korean J Gastrointest Endosc 16: 787~792, 1996)
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