Juvenile polyposis syndrome An unusual case report of anemia and gastrointestinal bleeding in young infant

Yi Han Hsiao, Chin Hung Wei, Szu Wen Chang, Lung Chang, Yu Wei Fu, Hung Chang Lee, Hsuan Liang Liu, Chun Yan Yeung

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background: Juvenile polyposis syndrome, a rare disorder in children, is characterized with multiple hamartomatous polyps in alimentary tract. A variety of manifestations include bleeding, intussusception, or polyp prolapse. In this study, we present an 8-month-old male infant of juvenile polyposis syndrome initially presenting with chronic anemia. To the best of our knowledge, this is the youngest case reported in the literature. Methods: We report a rare case of an 8-month-old male infant who presented with chronic anemia and gastrointestinal bleeding initially. Panendoscopy and abdominal computed tomography showed multiple polyposis throughout the entire alimentary tract leading to intussusception. Technetium-99m-labeled red blood cell (RBC) bleeding scan revealed the possibility of gastrointestinal tract bleeding in the jejunum. Histopathological examination on biopsy samples showed Peutz-Jeghers syndrome was excluded, whereas the diagnosis of juvenile polyposis syndrome was established. Results: Enteroscopic polypectomy is the mainstay of the treatment. However, polyps recurred and occupied the majority of the gastrointestinal tract in 6 months. Supportive management was given. The patient expired for severe sepsis at the age of 18 months. Conclusion: Juvenile polyposis syndrome is an inherited disease, so it is not possible to prevent it. Concerning of its poor outcome and high mortality rate, it is important that we should increase awareness and education of the parents at its earliest stages.

Original languageEnglish
Article numbere4550
JournalMedicine (United States)
Volume95
Issue number37
DOIs
Publication statusPublished - Jan 1 2016
Externally publishedYes

Fingerprint

Anemia
Polyps
Hemorrhage
Intussusception
Gastrointestinal Tract
Peutz-Jeghers Syndrome
Prolapse
Technetium
Jejunum
Sepsis
Erythrocytes
Parents
Tomography
Biopsy
Education
Mortality
Juvenile polyposis syndrome
Therapeutics

Keywords

  • Anemia
  • Gastrointestinal bleeding
  • Infant
  • Juvenile polyposis syndrome

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Juvenile polyposis syndrome An unusual case report of anemia and gastrointestinal bleeding in young infant. / Hsiao, Yi Han; Wei, Chin Hung; Chang, Szu Wen; Chang, Lung; Fu, Yu Wei; Lee, Hung Chang; Liu, Hsuan Liang; Yeung, Chun Yan.

In: Medicine (United States), Vol. 95, No. 37, e4550, 01.01.2016.

Research output: Contribution to journalArticle

Hsiao, Yi Han ; Wei, Chin Hung ; Chang, Szu Wen ; Chang, Lung ; Fu, Yu Wei ; Lee, Hung Chang ; Liu, Hsuan Liang ; Yeung, Chun Yan. / Juvenile polyposis syndrome An unusual case report of anemia and gastrointestinal bleeding in young infant. In: Medicine (United States). 2016 ; Vol. 95, No. 37.
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