Case of the day

? Familial Adenomatous Polyposis

A male aged 52 years Chief Complaints Bleeding PR (x 2 months) Req blood transfusion History Family history of colonic polyposis in real brother Investigations Colonoscopy Management What should be initial plan of management

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Total proctocolrctomy with ileo- anal pouch procedure

Yes it's a suggestive case of FAP, Do CBC, AFP,DNA from peripheral blood is analyzed for a truncated APC gene product, Medical & Surgical Management, consult gastrologist

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