RESUMO
We describe a case very rare in the West African sub-region, Familial Polyposis Coli, presenting with rectal prolapse. Symptoms appeared at an unusual age of three years. Histological examination of four polyps excised at random showed all to have undergone malignant change. While the patient was being built up for surgery, she developed marked abdominal distension, hyperpyrexia, respiratory distress and vomiting. She died within 24 hours of this acute illness. This is the first reported case, to our knowledge, of Familial Polyposis Coli in the West African sub-region.
Assuntos
Polipose Adenomatosa do Colo , Polipose Adenomatosa do Colo/diagnóstico , Polipose Adenomatosa do Colo/genética , Polipose Adenomatosa do Colo/patologia , Fatores Etários , Pré-Escolar , Feminino , Humanos , Nigéria , Prolapso Retal/complicaçõesRESUMO
A case is described of a patient who developed multiple faecal and urinary fistulae after repeated treatment for right-sided scrotal hernia by a native doctor. The patient recovered after resection of an incarcerated loop of sigmoid colon which showed fistulae with the inguinal skin and with the bladder. The bladder defect was closed. This kind of complication may be more frequent than reported.
