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男性,22岁,农民,反复腹泻,腹痛及脓血便1日3～4次已9个月,于1984年3月19日入院。乙状结肠镜检查,伸入24cm,见12点处有一0.5cm息肉样突起,16cm处多个息肉样物,12～7cm处有密集息肉状物,表面有糜烂、出血,无明显息肉蒂及肠腔狭窄区。X线钡剂灌肠照片观察,见直肠下端至升结肠均见多个直径0.5cm～1cm圆形充盈缺损,尤以直肠乙状结肠明显。诊断:多发性结肠息肉。4月11日在硬膜外麻醉下行乙状结肠及直肠中上段切除术。病理检查:切除肠管,长19cm。直径8cm,浆膜面来找到肿大的淋巴结,沿结肠带剪开,肠壁厚0.3cm～0.4cm,见肠腔粘膜面有多处突起物,呈乳头状,灰红色,直径0.4cm～0.5cm,未见蒂和溃疡形成。粘膜下层有小囊腔,内充满白色粘稠状物,
Male, 22 years old, farmer, repeated diarrhea, abdominal pain and pus and blood 3 to 4 times a day for 9 months, on March 19, 1984 admitted. Sigmoidoscopy, extending into 24cm, see a 12-point 0.5cm polyp-like protrusions, 16cm at the number of polyp samples, 12 ~ 7cm at a dense polypoid, the surface erosion, bleeding, no obvious polyp pedicle and intestine Narrow area. X-ray barium enema photo observation, see the lower rectum to the ascending colon were seen a number of 0.5cm ~ 1cm diameter circular filling defect, especially in the sigmoid colon rectum. Diagnosis: Multiple colon polyps. April 11 in the epidural anesthesia sigmoid colon and rectum in the upper resection. Pathological examination: excision of intestine, length 19cm. Diameter 8cm, serosal surface to find swollen lymph nodes, cut along the colon, bowel wall thickness 0.3cm ~ 0.4cm, see the mucosal surface of the intestinal mucosa have many protrusions, papillary, gray-red, diameter 0.4cm ~ 0.5cm, no pedicle and ulcer formation. Submucosa small cysts, filled with white viscous material,