Incidentally Discovered Mucosal Prolapse of the Colon During Colorectal Cancer Screening: A Case Report.

Autor: Asfaw MH; Internal Medicine, Howard University Hospital, Washington, USA., Adidam S; Internal Medicine, Howard University Hospital, Washington, USA., Aduli F; Gastroenterology, Howard University Hospital/Howard University College of Medicine, Washington, USA., Kibreab A; Internal Medicine, Howard University College of Medicine, Washington, USA., Asemota J; Internal Medicine, Howard University Hospital, Washington, USA.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2023 Apr 21; Vol. 15 (4), pp. e37958. Date of Electronic Publication: 2023 Apr 21 (Print Publication: 2023).
DOI: 10.7759/cureus.37958
Abstrakt: Colonic mucosal prolapse syndrome is a rare type of non-neoplastic non-inflammatory colorectal polyps that can mimic neoplastic lesions. We present a case of a 65-year-old man with mucosal prolapse syndrome, incidentally, discovered during colorectal cancer screening. The patient was asymptomatic, and his physical exam and laboratory test results were unremarkable. During a colonoscopy, the physician removed three small tubular adenomas and two pedunculated polyps suspicious of neoplasms. Retroflexion revealed small internal hemorrhoids. The histology of the larger polyps revealed mucosal prolapse features, while the smaller polyps displayed features consistent with tubular adenomas. Management involves the removal of associated polyps during colonoscopy, followed by surveillance colonoscopy to detect any recurrent polyps or early signs of colorectal cancer. Accurate diagnosis is crucial to avoid unnecessary interventions and ensure appropriate management.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2023, Asfaw et al.)
Databáze: MEDLINE