A Diagnosis of Small Bowel Polyposis

Question: A 19-year-old Hispanic man presented to the emergency department with nausea and vomiting. He was treated initially for viral gastroenteritis but returned several days later with intussusception and small bowel obstruction that was managed conservatively. Two months later, symptoms recurred with a 30-pound weight loss and intermittent hematochezia. An intussusception was again noted on imaging. An exploratory laparotomy was performed and a segment of the jejunum from the Ligament of Treitz to 25 cm with carpeting polyps was resected (Figure A).

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