title: Gardner's syndrome, a rare combination in surgical practice.
abstract: A 45-year-old man presented to the emergency ward with features of intestinal obstruction of 2 days duration. On admission, there was abdominal distension and multiple sessile polyps found on digital rectal examination. In addition, a soft tissue swelling near the elbow and a bony swelling over scalp were noted. Abdominal radiography revealed gaseous distension of the small and large bowel, and ultrasound revealed diffuse, gas-filled bowel with sluggish peristalsis. The obstruction failed to resolve with conservative measures and at emergency laparotomy an irregular hard recto-sigmoid junction mass was identified. A defunctioning transverse loop colostomy was undertaken and the abdomen closed. During recovery, a colonoscopy was performed and a malignant appearing lesion was identified 15 cm proximal to the anal verge. Further per-stomal colonoscopy revealed multiple sessile polyps from the ileo-caecal valve to the descending colon. The cutaneous and abdominal findings were consistent with a rare acute presentation of Gardner's syndrome.
authors.affiliation: Department of General Surgery, S.C.B. Medical College & Hospital, Cuttack, Odisha, India.
authors.forename: Manash Ranjan
authors.initials: MR
authors.lastname: Sahoo
authors.affiliation: Department of General Surgery, S.C.B. Medical College & Hospital, Cuttack, Odisha, India.
authors.forename: Anil Kumar
authors.initials: AK
authors.lastname: Nayak
authors.affiliation: Department of General Surgery, S.C.B. Medical College & Hospital, Cuttack, Odisha, India.
authors.forename: Akshapada
authors.initials: A
authors.lastname: Pattanaik
authors.affiliation: Department of General Surgery, S.C.B. Medical College & Hospital, Cuttack, Odisha, India.
authors.forename: Manoj S
authors.initials: MS
authors.lastname: Gowda
mesh_terms: D003108:Colonic Diseases / Q000209:etiology / Q000601:surgery; D003110:Colonic Neoplasms / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D003125:Colostomy; D004814:Epidermal Cyst / Q000175:diagnosis* / Q000209:etiology; D005736:Gardner Syndrome / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010016:Osteoma / Q000175:diagnosis* / Q000209:etiology; D012888:Skull Neoplasms / Q000175:diagnosis* / Q000209:etiology