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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Gowda, Manoj S. Sahoo, Manash Ranjan Nayak, Anil Kumar Pattanaik, Akshapada |
| Description | Author Affiliation: Sahoo MR ( Department of General Surgery, S.C.B. Medical College & Hospital, Cuttack, Odisha, India.); Nayak AK ( Department of General Surgery, S.C.B. Medical College & Hospital, Cuttack, Odisha, India.); Pattanaik A ( Department of General Surgery, S.C.B. Medical College & Hospital, Cuttack, Odisha, India.); Gowda MS ( Department of General Surgery, S.C.B. Medical College & Hospital, Cuttack, Odisha, India.) |
| Abstract | A 45-year-old man presented to the emergency ward with features of intestinal obstruction of 2â days duration. On admission, there was abdominal distension and multiple sessile polyps found on digital rectal examination. In addition, a soft tissue swelling near the elbow and a bony swelling over scalp were noted. Abdominal radiography revealed gaseous distension of the small and large bowel, and ultrasound revealed diffuse, gas-filled bowel with sluggish peristalsis. The obstruction failed to resolve with conservative measures and at emergency laparotomy an irregular hard recto-sigmoid junction mass was identified. A defunctioning transverse loop colostomy was undertaken and the abdomen closed. During recovery, a colonoscopy was performed and a malignant appearing lesion was identified 15â cm proximal to the anal verge. Further per-stomal colonoscopy revealed multiple sessile polyps from the ileo-caecal valve to the descending colon. The cutaneous and abdominal findings were consistent with a rare acute presentation of Gardner's syndrome. |
| e-ISSN | 1757790X |
| Journal | BMJ Case Reports |
| Volume Number | 2014 |
| Language | English |
| Publisher | BMJ Publishing Group Ltd. |
| Publisher Place | Great Britain (UK) |
| Access Restriction | Open |
| Subject Keyword | Colonic Neoplasms Diagnosis Epidermal Cyst Gardner Syndrome Osteoma Skull Neoplasms Colonic Diseases Etiology Surgery Colostomy Complications Intestinal Obstruction Multidisciplinary |
| Content Type | Text |
| Resource Type | Article |
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