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    Pigmented mesenteric lymphadenopathy in familial adenomatous polyposis - an unusual cause of intraoperative abandonment of ileo-anal pouch.

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    Authors
    Pranesh, Nagarajan
    Haboubi, Najib
    O'Dwyer, Sarah T
    Affiliation
    Department of Surgery, Christie Hospital, Manchester, UK. nagarajan.pranesh@christie-tr.nwest.nhs.uk
    Issue Date
    2005-07
    
    Metadata
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    Abstract
    Familial adenomatous polyposis (FAP) is an autosomal dominant condition with near complete penetrance, characterised by the presence of numerous adenomatous polyps of the colon and rectum. Melanosis coli describes the brownish-black discolouration of the colon resulting from the accumulation of a granular pigment in the phagosomes of macrophages in the colonic lamina propria. The presence of melanosis pigment in pericolonic lymph nodes has been reported in patients with coincidental melanosis coli, following segmental colonic resection. We report a unique case of FAP with melanosis pigment in lymph nodes in the small bowel mesentery that initially prevented a restorative proctocolectomy but that resolved following a colectomy, subsequently facilitating formation of an ileo-anal pouch.
    Citation
    Pigmented mesenteric lymphadenopathy in familial adenomatous polyposis - an unusual cause of intraoperative abandonment of ileo-anal pouch. 2005, 87 (4):W1-4 Ann R Coll Surg Engl
    Journal
    Annals of the Royal College of Surgeons of England
    URI
    http://hdl.handle.net/10541/75821
    DOI
    10.1308/147870805X50708
    PubMed ID
    16884599
    Type
    Article
    Language
    en
    ISSN
    0035-8843
    ae974a485f413a2113503eed53cd6c53
    10.1308/147870805X50708
    Scopus Count
    Collections
    All Christie Publications

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