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Laparoscopic coloproctectomy with ileal J pouch

Epublication WebSurg.com, Nov 2018;18(11). URL: http://websurg.com/doi/vd01en5442

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  • 2018-11-16
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This is a case of 35-year-old woman, with a history of familial adenomatous polyposis (FAP). She presented with diarrhea and mucous stools over the last 2 months. She had abandoned her controls 16 years ago. Fiber-colonoscopy showed multiple sessile and pedunculated polyps of the rectum up to 18mm in diameter, with ulcerated lesion and stenosis occupying the entire circumference. CT-scan showed a polypoid image of the middle rectum of 30 by 22mm in size, with eccentric parietal thickening of the rectosigmoid junction (40mm). It is possible to perform a laparoscopic coloproctectomy with an ileal J pouch.