Summary
A 62-year-old man had symptoms of congestive heart failure precipitated by chronic blood-loss anemia. Barium-enema studies were consistent with diffuse polyposis of the colon.
A total colectomy followed by ileoproctostomy was performed. Histologic examination of numerous polyps showed them to represent villous adenomas. Despite diffuse involvement, electrolyte depletion did not occur. Follow up is planned because of the possibility of future villous adenomas in the small bowel.
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References
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Solomon SS, Moran JM, Nabseth DC: Villous adenoma of rectosigmoid accompanied by electrolyte depletion. JAMA 194: 5, 1965.
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Grosberg, S.J. Diffuse villous adenomatosis of the colon: Report of a case. Dis Colon Rectum 19, 266–268 (1976). https://doi.org/10.1007/BF02590917
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DOI: https://doi.org/10.1007/BF02590917