Detlef Ritter
Tanzania
Case Report
Colonic Filiform Polyposis in a Patient without Inflammatory Bowel Disease
Author(s): Yongxin Chen, Detlef Ritter, Ping Hou and Jin-Ping LaiYongxin Chen, Detlef Ritter, Ping Hou and Jin-Ping Lai
Filiform polyposis is an uncommon entity that is most often encountered in the colon of patients with a history of inflammatory bowel disease (IBD). We report a case of filiform polyposis occurring in a 71-year-old man with no history, or symptoms of IBD. The patient was found to have numerous polypoid lesions in the ascending and proximal transverse colon endoscopically and underwent hemicolectomy. Gross examination revealed numerous finger-like polyps spreading in the ascending colon and transverse colon. Histologic evaluation of the excised specimen demonstrated the polyps lined by cytologically bland colonic mucosa with fibrovascular cores. Acute and chronic inflammation including crypt abscesses was focally present. No significant ulcerations, granulomas, dysplasia or malignancy were identified. The diagnosis was filiform polyposis and he had an uneventful postoperative course. T.. View More»