Treatment of Familial Adenomatous Polyposis with Symptomatic Intra-Abdominal Desmoid Tumour and Air-Fluid Levels

This page addresses a specific presentation of familial adenomatous polyposis (FAP): a symptomatic intra-abdominal desmoid tumour complicated by air-fluid levels, in the absence of generalised peritonitis.

Clinical scenario

The patient has FAP with a symptomatic intra-abdominal desmoid tumour showing air-fluid levels on imaging. Importantly, there is no generalised peritonitis, which shapes the immediate management approach.

Management approach

The structured protocol for this scenario includes intravenous antibiotic therapy as part of the initial intervention, with the clinical goal of achieving resolution of symptoms.

The complete regimen — including agent selection, sequencing, and full clinical algorithm — is available in the structured protocol.

Instant Access to Structured Evidence-Based Regimens

References

DOI: 10.1093/bjs/znae263

Symptomatic intra-abdominal desmoid with air-fluid levels

Intravenous antibiotics

Symptom resolution

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