Giant Inflammatory Polyposis of the Rectum as a Complication of Ulcerative Colitis

Inflammatory bowel disease is an emerging gastrointestinal disease in Malaysia. One of its rare complications includes giant inflammatory polyposis (GIP). A 39-year-old woman presented with worsening per rectal mucous discharge, associated with blood, colicky abdominal pain, and weight loss. A serie...

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Main Authors: Theeran Gill, Jaikumar Nallamuthu, Shabbar Husain, Wazir Azzam, Mohd Firdaus Mohd Hayati, Ismail Sagap
Format: Article
Language:English
English
Published: Surgical Society of Kenya 2022
Subjects:
Online Access:https://eprints.ums.edu.my/id/eprint/34210/1/FULL%20TEXT.pdf
https://eprints.ums.edu.my/id/eprint/34210/2/ABSTRACT.pdf
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author Theeran Gill
Jaikumar Nallamuthu
Shabbar Husain
Wazir Azzam
Mohd Firdaus Mohd Hayati
Ismail Sagap
author_facet Theeran Gill
Jaikumar Nallamuthu
Shabbar Husain
Wazir Azzam
Mohd Firdaus Mohd Hayati
Ismail Sagap
author_sort Theeran Gill
collection UMS
description Inflammatory bowel disease is an emerging gastrointestinal disease in Malaysia. One of its rare complications includes giant inflammatory polyposis (GIP). A 39-year-old woman presented with worsening per rectal mucous discharge, associated with blood, colicky abdominal pain, and weight loss. A series of endoscopies at another hospital did not provide an inconclusive diagnosis. Another repeat colonoscopy showed a left-sided colitis with marked erythema and friability with islands of polyps; this was concluded to be an ulcerative colitis based on histopathology; thus, medical treatment was commenced. However, 2 months later, the patient presented with constipation, which required laxatives, as well as a worsened lower abdominal pain. Subsequent colonoscopy revealed obstruction-caused GIP at the mid rectum extending to the lower rectum, which was confirmed by imaging modalities. She was diagnosed with obstructing GIP coupled with ulcerative colitis, and panproctocolectomy and ileal pouch anal anastomosis were planned.
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spelling ums.eprints-342102022-09-26T02:33:13Z https://eprints.ums.edu.my/id/eprint/34210/ Giant Inflammatory Polyposis of the Rectum as a Complication of Ulcerative Colitis Theeran Gill Jaikumar Nallamuthu Shabbar Husain Wazir Azzam Mohd Firdaus Mohd Hayati Ismail Sagap RC799-869 Diseases of the digestive system. Gastroenterology Inflammatory bowel disease is an emerging gastrointestinal disease in Malaysia. One of its rare complications includes giant inflammatory polyposis (GIP). A 39-year-old woman presented with worsening per rectal mucous discharge, associated with blood, colicky abdominal pain, and weight loss. A series of endoscopies at another hospital did not provide an inconclusive diagnosis. Another repeat colonoscopy showed a left-sided colitis with marked erythema and friability with islands of polyps; this was concluded to be an ulcerative colitis based on histopathology; thus, medical treatment was commenced. However, 2 months later, the patient presented with constipation, which required laxatives, as well as a worsened lower abdominal pain. Subsequent colonoscopy revealed obstruction-caused GIP at the mid rectum extending to the lower rectum, which was confirmed by imaging modalities. She was diagnosed with obstructing GIP coupled with ulcerative colitis, and panproctocolectomy and ileal pouch anal anastomosis were planned. Surgical Society of Kenya 2022 Article PeerReviewed text en https://eprints.ums.edu.my/id/eprint/34210/1/FULL%20TEXT.pdf text en https://eprints.ums.edu.my/id/eprint/34210/2/ABSTRACT.pdf Theeran Gill and Jaikumar Nallamuthu and Shabbar Husain and Wazir Azzam and Mohd Firdaus Mohd Hayati and Ismail Sagap (2022) Giant Inflammatory Polyposis of the Rectum as a Complication of Ulcerative Colitis. Annals of African Surgery, 19. pp. 165-168. ISSN 1999-9674 (P-ISSN) , 2523-0816 (E-ISSN) https://www.annalsofafricansurgery.com/giant-inflammatory-polyposis-of-the-rectum-as-a-complication-of-ulcerative-colitis https://doi.org/10.4314/aas.v19i3.7 https://doi.org/10.4314/aas.v19i3.7
spellingShingle RC799-869 Diseases of the digestive system. Gastroenterology
Theeran Gill
Jaikumar Nallamuthu
Shabbar Husain
Wazir Azzam
Mohd Firdaus Mohd Hayati
Ismail Sagap
Giant Inflammatory Polyposis of the Rectum as a Complication of Ulcerative Colitis
title Giant Inflammatory Polyposis of the Rectum as a Complication of Ulcerative Colitis
title_full Giant Inflammatory Polyposis of the Rectum as a Complication of Ulcerative Colitis
title_fullStr Giant Inflammatory Polyposis of the Rectum as a Complication of Ulcerative Colitis
title_full_unstemmed Giant Inflammatory Polyposis of the Rectum as a Complication of Ulcerative Colitis
title_short Giant Inflammatory Polyposis of the Rectum as a Complication of Ulcerative Colitis
title_sort giant inflammatory polyposis of the rectum as a complication of ulcerative colitis
topic RC799-869 Diseases of the digestive system. Gastroenterology
url https://eprints.ums.edu.my/id/eprint/34210/1/FULL%20TEXT.pdf
https://eprints.ums.edu.my/id/eprint/34210/2/ABSTRACT.pdf
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