Issn Print: 0277-2116
Publication Date: 2002/01/01
Joseph F. Fitzgerald; Riccardo Troncone; Brian Batson; Charu Subramony; Michael Nowicki
Excerpt
A 12-year-old boy had a history of painless, bright-red rectal bleeding for about 5 months. Bowel movements were described as soft, formed, and easy to pass. Most stools had small amounts of bright-red blood on top of the stool; there was no appreciable mucus. There was no history of abdominal pain, diarrhea, chronic constipation, pain with defecation, or weight loss. Family history was significant for familial juvenile polyposis affecting 11 family members (1). Laboratory evaluation included a complete blood count, prothrombin time, and partial thromboplastin time; all results were normal. Colonoscopy was performed and 5 pedunculated polyps were identified, all in the left colon. Abnormal colonic mucosa was seen at the base of two large rectal polyps (FIG. 1A). All the polyps were removed, and biopsy was performed on the abnormal colonic mucosa (FIG. 1B).
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