title: Ulcerative colitis with inflammatory polyposis in a teenage boy: a case report.
abstract: Ulcerative colitis in addition to inflammatory polyposis is common. The benign sequel of ulcerative colitis can sometimes mimic colorectal carcinoma. This report describes a rare case of inflammatory polyposis with hundreds of inflammatory polyps in ulcerative colitis which was not easy to distinguish from other polyposis syndromes. A 16-year-old Chinese male suffering from ulcerative colitis for 6 mo underwent colonoscopy, and hundreds of polyps were observed in the sigmoid, causing colonic stenosis. The polyps were restricted to the sigmoid. Although rectal inflammation was detected, no polyps were found in the rectum. A diagnosis of inflammatory polyposis and ulcerative colitis was made. The patient underwent total colectomy and ileal pouch anal anastomosis. The patient recovered well and was discharged on postoperative day 8. Endoscopic surveillance after surgery is crucial as ulcerative colitis with polyposis is a risk factor for colorectal cancer. Recognition of polyposis requires clinical, endoscopic and histopathologic correlation, and helps with chemoprophylaxis of colorectal cancer, as the drugs used postoperatively for colorectal cancer, ulcerative colitis and polyposis are different.
authors.affiliation: Jin-Shan Feng, Can-Can Guo, Xue-Bao Zheng, Research Institute of Traditional Chinese Medicine, Guangdong Medical College, Zhanjiang 524023, Guangdong Province, China.
authors.forename: Jin-Shan
authors.initials: JS
authors.lastname: Feng
authors.affiliation: Jin-Shan Feng, Can-Can Guo, Xue-Bao Zheng, Research Institute of Traditional Chinese Medicine, Guangdong Medical College, Zhanjiang 524023, Guangdong Province, China.
authors.forename: Ying
authors.initials: Y
authors.lastname: Ye
authors.affiliation: Jin-Shan Feng, Can-Can Guo, Xue-Bao Zheng, Research Institute of Traditional Chinese Medicine, Guangdong Medical College, Zhanjiang 524023, Guangdong Province, China.
authors.forename: Can-Can
authors.initials: CC
authors.lastname: Guo
authors.affiliation: Jin-Shan Feng, Can-Can Guo, Xue-Bao Zheng, Research Institute of Traditional Chinese Medicine, Guangdong Medical College, Zhanjiang 524023, Guangdong Province, China.
authors.forename: Bo-Tao
authors.initials: BT
authors.lastname: Luo
authors.affiliation: Jin-Shan Feng, Can-Can Guo, Xue-Bao Zheng, Research Institute of Traditional Chinese Medicine, Guangdong Medical College, Zhanjiang 524023, Guangdong Province, China.
authors.forename: Xue-Bao
authors.initials: XB
authors.lastname: Zheng
mesh_terms: D000293:Adolescent; D001706:Biopsy; D003082:Colectomy; D003093:Colitis, Ulcerative / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D003111:Colonic Polyps / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D039021:Colonic Pouches; D003113:Colonoscopy; D006801:Humans; D008297:Male; D016896:Treatment Outcome
keywords: Colorectal cancer; Inflammatory polyposis; Teenager; Ulcerative colitis