Case Report
Copyright ©2012 Baishideng.
World J Gastrointest Surg. Jun 27, 2012; 4(6): 157-162
Published online Jun 27, 2012. doi: 10.4240/wjgs.v4.i6.157
Table 1 Cases of cap polyposis reviewed
No.CaseAge (yr)GenderClinical presentationLocationSolitary vs multiple lesionsPresumed or Initial diagnosisTreatmentOutcome
1Campbell et al[3], 199368MWeight loss, diarrheaSigmoidMultipleUCTotal colectomyResolved
2Campbell et al[3], 199365FDiarrheaRectumMultipleSolitary rectal ulcer vs infectionSigmoid diverting colostomy/ cleversal enemaImproved
3Géhénot et al[4], 199442FBloody diarrheaRecto sigmoidMultipleNon-specific colitisSigmoid colostomyResolved
4Oshitani et al[5], 199854FHypoproteinemia, diarrheaDesc. colonMultipleUCLeft hemicolectomyResolved
5Peny et al[6], 199872MDiarrhea, tenesmusRectum to ascending colonMultipleUCProctocolectomyResolved
6Oriuchi et al[7], 200020FHypoproteinemia, mucousy diarrheaRecto sigmoidMultipleAvoidance of strainingResolved
7Oriuchi et al[7], 200052FHypoproteinemia, mucousy diarrheaRectumMultipleDiversion transverse double barrel colostomyResolved
8Kajihara et al[8], 200038FBloody diarrheaRecto sigmoidMultipleCPMetronidazoleResolved
9Isomoto et al[9], 200151FMucousy bloody diarrheaRecto sigmoidMultipleNon-specific colitisAPRResolved
10Esaki et al[10], 200121MWeight loss, diarrheaRecto sigmoidMultipleMetronidazoleResolved
11Esaki et al[10], 200167FAbdominal pain, mucousy diarrheaRecto sigmoidMultipleAnterior resectionResolved
12Esaki et al[10], 200121MAbdominal painRectumMultiplePatient refused
13Esaki et al[10], 200176FDiarrhea, tenesmusRecto sigmoidMultiplePatient refusedResolved
14Sadamoto et al[11], 200173MAsymptomaticSigmoid to cecumMultipleCPObservationResolved
15Oiya et al[12], 200263MMucousy diarrheaRectum to ascending colonMultipleH. pylori eradication therapyResolved
16Shimizu et al[13], 200212FMucousy bloody diarrheaRecto sigmoidMultipleUCMetronidazoleResolved
17Park et al[14], 200260FTenesmusRectumLow anterior resectionResolved
18Ohkawara et al[15], 200367FMucousy bloody diarrheaRecto sigmoidMultipleNon-specific colitisPatient refusedResolved
19Akamatsu et al[16], 200433FHypoproteinemia, mucousy bloody diarrheaRectumMultipleUCH. pylori eradication therapyResolved
20Akamatsu et al[16], 200450FWeight loss, diarrheaRecto sigmoidMultipleCPH. pylori eradication therapyResolved
21Akamatsu et al[16], 200453FMucousy bloody diarrheaRecto sigmoidMultipleCPH. pylori eradication therapyResolved
22Bookman et al[17], 200436FMucousy bloody diarrheaRecto sigmoidMultipleCPInfliximabResolved
23Maunoury et al[18], 200552FMucousy diarrheaRectumMultipleCP (recurrence)InfliximabFailed
24Konishi et al[19], 200576FHypoproteinemia, Mucousy bloody diarrheaThrough out the colonMultipleCPSigmoidectomy for villous adenomaResolved
25Ryu et al[20], 200664MWeight loss, diarrheaRecto sigmoidMultipleCPObservationResolved
26Nakagawa et al[21], 200952FWeight loss, mucousy bloody diarrheaRectum to transverse colonMultipleCPH. pylori eradication therapyResolved
27Kim et al[22], 200953FMucousy bloody diarrhea, tenesmusRecto sigmoidMultiplePseudomembranous colitisInfliximabResolved
28Obusez et al[23], 201070FDiarrheaIleal pouchSolitaryCPPiecemeal snare polypectomyResolved
29Yang et al[24], 201067FEpigastric pain, nauseaStomachMultipleH. pylori eradication therapyResolved
30Present case21MBlood loss p.a.Lower rectumSolitaryRectal cancerPiecemeal snare polypectomyResolved
Table 2 Symptoms of cap polyposis
Symptoms%
Mucousy diarrhea86.7
Bloody stool33.3
Weight loss10
Abdominal pain10
Tenesmus10