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Case contributed by Ian Bickle
Diagnosis certain


Lynch syndrome.

Patient Data

Age: 45 years
Gender: Female

Panproctocolectomy and ileostomy.

Tiny simple cysts in the liver, left kidney and spleen.

No other abnormality.

Case Discussion

An example of a panproctocolectomy, in this case prophylactically for Lynch syndrome.

The uterus has 'dropped' into the presacral space given the absence of a rectum.

Inflammatory bowel disease is the other chief indication for a panproctocolectomy.

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