Polypectomy for Recurrent Inflammatory Cap Polyposis Combined with Argon Plasma Coagulation

ACG Case Reports Journal
Soros AnuchapreedaThawee Ratanachuek

Abstract

A 15-year-old adolescent boy presented with chronic constipation, difficulty in defecation, and episodic bloody stools. A rectal mass lesion was digitally palpated. Colonoscopy showed a large circumferential polypoid lesion of the mid-rectum. Snare polypectomy was performed, and histopathology confirmed a diagnosis of benign inflammatory cap polyposis. At 3-month follow-up, sigmoidoscopy showed multiple recurrences of polyps at the site of the previous rectal polypectomy, which were removed by combined hot snare polypectomy and argon plasma coagulation. At 1-year follow-up, the patient was symptom-free and had no more episodes of bloody stool. Follow-up sigmoidoscopy showed a post-polypectomy rectal mucosal scar without recurrent polypoid lesions.

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Citations

Jan 22, 2020·Revista Española De Enfermedades Digestivas : Organo Oficial De La Sociedad Española De Patología Digestiva·Sara Monsalve AlonsoCecilio Santander Vaquero
Jan 29, 2020·Pediatric Gastroenterology, Hepatology & Nutrition·Seong Hee JeongYeoun Joo Lee
May 30, 2021·Journal of Medical Case Reports·Narendra PanditShailesh Adhikary

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