Familial adenomatous polyposis: a case study. Issue 10 (27th October 2020)

• Record Type: Journal Article
• Authors: Yorke, Joseph; Yamoah, Francis Akwaw; Awoonor-Williams, Ronald; Konney, Thomas Okpoti; Acheampong, Emmanuel; Adjei, Ernest; Ababio, Kwabena Acheamfour; Aning, Daniel Gyawu; Afful-Yorke, Dennis; Aidoo, Freda Manu; Assim, Claudia Gyamfua; Gyamfi, Frank Enoch; Assim, Raphael Owusu Sekyere; Konadu, Saabea Owusu; Kuwornu, David Elikplim; Acheampong, Emmanuella Nsenbah
• Is Part Of: Journal of surgical case reports. Volume 2020:Issue 10(2020)
• Publication Date: 2020-10-27
• Subjects: familial adenomatous polyposis -- colonoscopy -- subtotal colectomy; Surgery -- Periodicals; Surgery -- Case studies -- Periodicals; 617.005
• DOI: 10.1093/jscr/rjaa367
• Languages: English
• ISSNs: 2042-8812

Abstract

Abstract: Familial adenomatous polyposis (FAP) is an inherited syndrome characterized by several adenomatous polyps of the gastrointestinal (GI) mucosa. If treatment is not provided, an average individual with classic FAP will develop colorectal carcinoma around the age of 40 years. The incidence rate of FAP in developing countries like Ghana is unknown compared to advanced countries. We present the first FAP case of a 22-year-old Ghanaian female who presented with massive lower GI bleeding and underwent surgical management after a thorough investigation. The initial assumption that colonic polyps are scarce in native Africans may be more than what is perceived. This highlights the need for the availability of endoscopic services in Ghana.