A Case of Cap Polyposis Complicated with Idiopathic Retroperitoneal Fibrosis.
10.4166/kjg.2011.58.5.275
- Author:
Limhwa SONG
1
;
Byung Woo JHUN
;
Jihyeon PARK
;
Damin KIM
;
Dong Kyung CHANG
;
Young Ho KIM
;
Jae Jun KIM
;
Jin Yong KIM
Author Information
1. Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. jinyong33.kim@samsung.com
- Publication Type:Case Report ; English Abstract
- Keywords:
Cap polyposis;
Retroperitoneal fibrosis;
Prednisolone;
Low anterior resection
- MeSH:
Anti-Inflammatory Agents/therapeutic use;
Colonic Polyps/surgery;
Colonoscopy;
Female;
Humans;
Intestinal Polyposis/complications/*diagnosis/pathology;
Middle Aged;
Prednisolone/therapeutic use;
Recurrence;
Retroperitoneal Fibrosis/complications/*diagnosis/drug therapy;
Tomography, X-Ray Computed
- From:The Korean Journal of Gastroenterology
2011;58(5):275-279
- CountryRepublic of Korea
- Language:English
-
Abstract:
An optimal treatment for cap polyposis has not been established. Several treatment approaches, including anti-inflammatory agents, antibiotics, immunomodulators, and endoscopic therapy have been described. Surgical resection of the affected colon and rectum may be indicated for patients with persistent disease. Repeat surgery is indicated in cases of recurrence after surgery. However, symptomatic polyposis may still recur, and spontaneous resolution of cap polyposis is possible. We report a case of recurrent cap polyposis complicated with retroperitoneal fibrosis after inadequate low anterior resection with a positive resection margin. Surgical approaches for the treatment of cap polyposis should be carefully considered before treatment.
