Colonic Polyposis in a 15 Year-Old Boy: Challenges and Lessons from a Rural Resource-Poor Area

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dc.contributor.authorKakembo, Nasser
dc.contributor.authorKisa, Phyllis
dc.contributor.authorOzgediz, Doruk
dc.contributor.authorSekabira, John
dc.date.accessioned2022-06-15T07:47:43Z
dc.date.available2022-06-15T07:47:43Z
dc.date.issued2016
dc.description.abstractColorectal polyps usually present with rectal bleeding and are associated with increased risk of colorectal carcinoma. Evaluation and management in resource-poor areas present unique challenges.This 15 year-old boy presented with 9 years of painless rectal bleeding and 2 years of a prolapsing rectal mass after passing stool. He had 3 nephews with similar symptoms. On clinical assessment and initial exam under anesthesia, an impression of a polyposis syndrome was made and a biopsy taken from the mass that revealed inflammatory polyps with no dysplasia. He was identified during a pediatric surgical outreach to a rural area with no endoscopy, limited surgical services, and no genetic testing available, even at a tertiary center. He subsequently had a three-stage proctocolectomy and ileal pouch anal anastomosis with good outcome after referral to a tertiary care center. The surgical specimen showed many polyps scattered through the colon.In the absence of endoscopic surveillance and diagnostic services including advanced pathology and genetic testing, colorectal polyposis syndromes are a significant challenge if encountered in these settings. Reports from similar settings have not included this surgical treatment, often opting for partial colectomy. Nonetheless, good outcomes can be achieved even given these constraints. The case also illustrates the complexity of untreated chronic pediatric surgical disease in rural resource-poor areas with limited health care access.Polyposis syndromes in children present unique challenges in rural resource-poor settings. Good outcomes can be achieved with total proctocolectomy and ileal pouch anastomosis.en_US
dc.identifier.citationKakembo, N., Kisa, P., Fitzgerald, T., Ozgediz, D., & Sekabira, J. (2016). Colonic polyposis in a 15 year-old boy: Challenges and lessons from a rural resource-poor area. Annals of Medicine and Surgery, 7, 75-78.https://doi.org/10.1016/j.amsu.2016.03.027en_US
dc.identifier.issn2049-0801
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/3969
dc.language.isoenen_US
dc.publisherAnnals of Medicine and Surgeryen_US
dc.subjectPolyposis; Global surgery; Uganda; Rural surgery; Resource-limited settings; Pediatric surgeryen_US
dc.titleColonic Polyposis in a 15 Year-Old Boy: Challenges and Lessons from a Rural Resource-Poor Areaen_US
dc.typeArticleen_US
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