Importance of Extraintestinal Manifestations in Early Diagnosis of Gardner Syndrome

Gardner syndrome: A case report

BACKGROUND

Gardner syndrome is a special subtype of familial adenomatous polyposis (FAP) and it is an autosomal dominant genetic disease mainly characterized by multiple gastrointestinal polyps, soft tissue tumors, and osteomas. It is a rare disease, and there are few relevant reports about it. However, the malignant transformation rate of Gardner syndrome is high. Therefore, understanding of its main clinical features, and early examination and timely discovery are of great significance for its treatment.

CASE SUMMARY

We report the case of a 39-year-old man diagnosed with Gardner syndrome who presented with anemia and melena for more than 4 mo, along with nausea and vomiting for more than 20 d. Gastrointestinal endoscopy revealed multiple polyps in the gastrointestinal tract and polyp biopsy pathology confirmed the diagnosis. Endoscopic treatment was performed, and the patient had no postoperative discomfort. Finally, his condition improved.

CONCLUSION

The clinical manifestations of Gardner syndrome are complex. The combination of clinical manifestations with relevant imaging and pathological examination results can help achieve early diagnosis and early treatment. Early treatment is usually associated with a good prognosis.