Diagnosis and treatment of familial adenomatous polyposis combined with adenomas in the common bile duct

Abstract

Familial adenomatous polyposis is characte-rized by the multiple and adenomatous polyps in the colorectum combined with polyps in the stomach and duodenum, while it is rarely seen in the common bile duct (CBD). In July 2013, 1 patient with FAP combined with adenomas in the CBD was admitted to the Fujian Provincial Hospital. The patient underwent laparoscopic CBD exploration and resection of masses due to acute pancreatitis 11 months ago, and was confirmed as with adenoma in the distal CBD by postoperative pathological examination. Multiple polyps were found in the stomach, duodenum, CBD, colorectum after admission to hospital, biopsy confirmed that polyps were tubular adenoma. The patient received pancrea-ticduodenectomy and was diagnosed as with duodenum-CBD tubular adenoma in postoperative pathological examination. The patient was followed up by telephone interview and outpatient examination and had a full recovery, in addition to the increasing of stools frequency and occasioned hematochezia, and then was treated by total colectomy at postoperative month 7. The tubular adenoma was confirmed by postoperative pathological examination. Key words: Familial adenomatous polyposis; Adenoma; Common bile duct; Pancreaticduodenectomy; Total colectomy