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Journal of Case Reports
Juvenile Polyposis Syndrome -Two Case Reports
Samuel Essoun1, Jonathan CB Dakubo2, Antoinette A Bediako-Bowan2
From the Department of Surgery, 1Korle Bu Teaching Hospital, Accra, Ghana; 2University of Ghana Medical School, Accra, Ghana.
Corresponding Author:
Dr. Samuel Essoun
Email: essoun@gmail.com
Received: 15-AUG-2014 Accepted: 10-SEP-2014 Published Online: 15-OCT-2014
DOI: http://dx.doi.org/10.17659/01.2014.0100
Abstract
Juvenile polyposis syndrome is a rare condition characterized by the presence of numerous harmatomatous polyps in the gastrointestinal tract and associated with a risk for colorectal cancer.  Juvenile polyposis syndrome has been scarcely reported in Africa and this will be the index cases reported in Ghana.  We report two cases of juvenile polyposis syndrome diagnosed and managed in our facility. They both presented with gastrointestinal bleeding and the polyps were identified at endoscopy. Histopathological confirmation of the diagnosis in the first case was delayed leading to death of patient from severe anaemia but the second case underwent a pan-colectomy. The report highlights the occurrence of this precancerous condition, the variety in anatomic presentation of the disease, the diagnostic difficulties and the management challenges.
Keywords : Polyps, Intestinal Polyposis, Adenoma, Gastrointestinal Hemorrhage, Colorectal Neoplasms, Humans.
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