Giant Inflammatory Polyposis Coli of Sigmoid Colon Mimicking Malignancy – A Case Report
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 1
Abstract
Introduction: Giant inflammatory polyposis is an uncommon sequelae of the Inflammatory bowel disease involving large bowel. Case presents a challenging scenario for the pathologist and clinicians. On endoscopic findings there is strong suspicion of malignancy while same is not revealed on histopathological examination. Case report: We report a rare case where a 19 years old boy presented with signs and symptoms of intestinal obstruction. On endoscopy a fungating mass was seen which was completely obstructing the sigmoid colon. Due to intestinal obstruction and strong suspicion of malignancy sigmoid colectomy was done. On gross examination it looked like malignancy but there was no evidence of malignancy on histopathology. Histopathological examination revealed diagnosis of giant inflammatory polyposis coli. So findings revealed diagnosis of this rare disorder which is a diagnostic dilemma and whose prior knowledge can save lots of confusion and can be of benefit to patient. In this case patient had a recurrence in seven months. With prior knowledge appropriate measures can be taken to prevent recurrence like on table evaluation, total colectomy as required for patient. Conclusion: Giant Inflammatory polyposis coli resemble colonic malignancy and shares common clinical features at presentation. So, initial proper diagnosis may allow medical intervention with steroids, potentially ameliorating the progression and complications of the disease. While surgical resection may be both diagnostic and therapeutic, not all patients require extensive surgical management
Authors and Affiliations
Dhananjay B. Ghuge, Alok Tiwari, Aviral Verma, Parbhat Gupta
Keywords
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