24 years, male presented with bleeding per rectum off and on for the last 2 years. He was diagnosed with Multiple Colonic Polyps 2 years ago but had opted out of surgery that time. His twin brother was diagnosed with multiple colonic polyps and had underwent Laparoscopic Total Proctocolectomy with IPAA 2 years back. Now the patient was investigated and underwent Laparoscopic Total Proctocolectomy with Ileal Pouch Anal Anastomosis (IPAA). Edited by - Dr. Nadeem Mushtaque Ahmed, Fellow Minimal Access Surgery, Apollo Hospitals, Chennai, India
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