Tamura Koichi, Matsuda Kenji, Yokoyama Shozo, Iwamoto Hiromitsu, Mizumoto Yuki, Nakamura Yuki, Murakami Daisuke, Yamaue Hiroki
Second Department of Surgery, School of Medicine, Wakayama Medical University, 811-1, Kimiidera, Wakayama, 641-8510, Japan.
Surg Case Rep. 2018 Jul 3;4(1):69. doi: 10.1186/s40792-018-0476-6.
Cap polyposis is a rare gastrointestinal disease with endoscopically and pathologically distinctive features. Its exact etiology has not been fully elucidated. In a few cases, there was recurrence after inadequate treatment. Efficacy of Helicobacter pylori eradication therapy, however, has been shown in some published research.
A 70-year-old female patient developed intermittent mucous diarrhea with loss of body weight and visited a physician. Total colonoscopy showed multiple sessile polyps which were partially coadunated from the rectum to the sigmoid colon. Histopathological finding was tubular adenoma with mild atypia. The patient stayed for observation. Worsening symptoms following protein-losing enteropathy demanded surgical treatment because malignancy could not be ruled out. Laparoscopic resection was performed, and the surgical specimens revealed that the polypoid lesion mainly consisted of mild adenomatous glands which were covered with purulent granulation tissues. We made final diagnosis of cap polyposis and saw rapid improvement of her symptoms. Long-term observation is required after surgery.
We reported a case of successful laparoscopic resection of cap polyposis with protein-losing enteropathy (170 words).
息肉样息肉病是一种罕见的胃肠道疾病，在内镜检查和病理检查中有独特的特征。其确切病因尚未完全阐明。在少数病例中，治疗不充分会导致复发。然而，一些已发表的研究表明幽门螺杆菌根除疗法具有疗效。
一名70岁女性患者出现间歇性黏液性腹泻并体重减轻，遂就医。全结肠镜检查显示从直肠到乙状结肠有多个无蒂息肉，部分融合。组织病理学检查结果为轻度异型增生的管状腺瘤。患者留院观察。由于不能排除恶性肿瘤，蛋白丢失性肠病导致症状恶化，需要进行手术治疗。实施了腹腔镜切除术，手术标本显示息肉样病变主要由覆盖有脓性肉芽组织的轻度腺瘤性腺管组成。我们最终诊断为息肉样息肉病，患者症状迅速改善。术后需要长期观察。
我们报告了一例成功通过腹腔镜切除伴有蛋白丢失性肠病的息肉样息肉病的病例（170字）。
