title: Diffuse filiform polyposis of the small intestine without inflammatory bowel disease.
abstract: Filiform polyposis is a rare disease, which typically occurs in patients with inflammatory bowel disease. We report a case of filiform polyposis occurring in a 56-year-old man with no history or evidence of inflammatory bowel disease. The patient's main symptoms were melena and anemia. We performed an emergency exploratory laparotomy, in which we observed worm-like polyps spread almost along the entire small intestine, and a partial resection of the small intestine to treat bleeding in the bowel was carried out. Two days later, the patient was noted to have melena again, and we performed an abdominal angiographic embolization, successfully stopping the bleeding. Histologic evaluation of the excised specimen revealed chronic inflammatory cells within the lamina propria without hyperplastic or adenomatous epithelial changes. Although the surgery was very successful, careful management of the patient was required, owing to the great risk of re-bleeding.
authors.forename: Jin-Wei
authors.initials: JW
authors.lastname: Jiang
authors.forename: Guan-Yu
authors.initials: GY
authors.lastname: Wang
authors.forename: Yi-Ping
authors.initials: YP
authors.lastname: Zhu
authors.forename: Ren-Biao
authors.initials: RB
authors.lastname: Chen
authors.forename: Ze-Qin
authors.initials: ZQ
authors.lastname: Zhang
authors.affiliation: Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, East Qingchun Road, Hangzhou 310016, Zhejiang Province, China. zjuzycx@gmail.com.
authors.forename: Yu-Jie
authors.initials: YJ
authors.lastname: Zhang
mesh_terms: D011125:Adenomatous Polyposis Coli / Q000473:pathology* / Q000601:surgery; D006801:Humans; D015212:Inflammatory Bowel Diseases; D044483:Intestinal Polyposis / Q000473:pathology* / Q000601:surgery; D007421:Intestine, Small / Q000473:pathology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011379:Prognosis