Cap polyposis (CP) which relapsed after remission by avoiding straining at defecation, and was cured by Helicobacter pylori eradication therapy

Intern Med. 2009;48(23):2009-13. doi: 10.2169/internalmedicine.48.2547. Epub 2009 Dec 1.

Abstract

A 52-year-old woman was diagnosed with cap polyposis (CP) with characteristic clinical, endoscopic, and histological features. By avoiding straining at defecation, her symptoms improved temporarily, however recrudesced. She was diagnosed with Helicobacter pylori (H. pylori) infection, and received eradication therapy successfully. After this eradication therapy, her symptoms and colonoscopic findings recovered completely. Only two reports in the English language literature have discussed the relationship between CP and eradication therapy for H. pylori, all patients achieved complete recovery. We recommend H. pylori testing for all cases of CP and H. pylori eradication therapy if necessary.

Publication types

  • Case Reports

MeSH terms

  • Adenomatous Polyposis Coli / drug therapy
  • Adenomatous Polyposis Coli / microbiology
  • Adenomatous Polyposis Coli / therapy*
  • Anti-Bacterial Agents / administration & dosage*
  • Anti-Infective Agents / administration & dosage
  • Defecation* / drug effects
  • Defecation* / physiology
  • Female
  • Helicobacter Infections / microbiology
  • Helicobacter Infections / physiopathology
  • Helicobacter Infections / therapy*
  • Helicobacter pylori / drug effects
  • Helicobacter pylori / isolation & purification*
  • Humans
  • Middle Aged
  • Muscle, Skeletal / microbiology
  • Muscle, Skeletal / physiopathology
  • Recurrence
  • Remission Induction
  • Sprains and Strains / microbiology*
  • Sprains and Strains / physiopathology

Substances

  • Anti-Bacterial Agents
  • Anti-Infective Agents