{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T08:10:18Z","timestamp":1756282218220,"version":"3.44.0"},"reference-count":16,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2014,4,16]]},"abstract":"<jats:p>A 45-year-old man presented to the emergency ward with features of intestinal obstruction of 2\u2005days duration. On admission, there was abdominal distension and multiple sessile polyps found on digital rectal examination. In addition, a soft tissue swelling near the elbow and a bony swelling over scalp were noted. Abdominal radiography revealed gaseous distension of the small and large bowel, and ultrasound revealed diffuse, gas-filled bowel with sluggish peristalsis. The obstruction failed to resolve with conservative measures and at emergency laparotomy an irregular hard recto-sigmoid junction mass was identified. A defunctioning transverse loop colostomy was undertaken and the abdomen closed. During recovery, a colonoscopy was performed and a malignant appearing lesion was identified 15\u2005cm proximal to the anal verge. Further per-stomal colonoscopy revealed multiple sessile polyps from the ileo-caecal valve to the descending colon. The cutaneous and abdominal findings were consistent with a rare acute presentation of Gardner's syndrome.<\/jats:p>","DOI":"10.1136\/bcr-2013-008760","type":"journal-article","created":{"date-parts":[[2014,5,26]],"date-time":"2014-05-26T05:38:36Z","timestamp":1401082716000},"page":"bcr2013008760","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Gardner's syndrome, a rare combination in surgical practice"],"prefix":"10.1136","volume":"2014","author":[{"given":"Manash Ranjan","family":"Sahoo","sequence":"first","affiliation":[{"name":"Department of General Surgery, S.C.B. Medical College & Hospital, Cuttack, Odisha, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anil Kumar","family":"Nayak","sequence":"additional","affiliation":[{"name":"Department of General Surgery, S.C.B. Medical College & Hospital, Cuttack, Odisha, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akshapada","family":"Pattanaik","sequence":"additional","affiliation":[{"name":"Department of General Surgery, S.C.B. Medical College & Hospital, Cuttack, Odisha, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manoj S","family":"Gowda","sequence":"additional","affiliation":[{"name":"Department of General Surgery, S.C.B. Medical College & Hospital, Cuttack, Odisha, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2014,5,26]]},"reference":[{"key":"2025082700351505000_2014.may26_1.bcr2013008760.1","first-page":"167","article-title":"A genetic and clinical study of intestinal polyposis, a predisposing factor for carcinoma of the colon and rectum","volume":"3","author":"Gardner","year":"1951","journal-title":"Am J Hum Genet"},{"key":"2025082700351505000_2014.may26_1.bcr2013008760.2","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1016\/j.ijscr.2012.01.004","article-title":"Desmoid tumour of the breast as a manifestation of Gardner's syndrome","volume":"3 .","author":"Rammohan","year":"2012","journal-title":"Int J Surg Case Rep"},{"key":"2025082700351505000_2014.may26_1.bcr2013008760.3","unstructured":"Online \u2018Mendelian Inheritance in Man\u2019 (OMIM) 175100."},{"key":"2025082700351505000_2014.may26_1.bcr2013008760.4","unstructured":"DeVita VT Jr Lawrence TS Rosenberg SA . DeVita, Hellman, and Rosenberg's Cancer: Principles and Practice of Oncology, 8th edn. Lippincott Williams & Wilkins, 2011:1742."},{"key":"2025082700351505000_2014.may26_1.bcr2013008760.5","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2036.2002.01357.x"},{"key":"2025082700351505000_2014.may26_1.bcr2013008760.6","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1001\/archsurg.1966.01320200127020","article-title":"Gardner's syndrome, review of the literature and report on a family","volume":"2","author":"Jones","year":"1966","journal-title":"Arch Surg"},{"key":"2025082700351505000_2014.may26_1.bcr2013008760.7","first-page":"9","article-title":"The pancreas in familial adenomatous polyposis","volume":"9","author":"Elkharwily","year":"2008","journal-title":"JOP"},{"key":"2025082700351505000_2014.may26_1.bcr2013008760.8","doi-asserted-by":"publisher","DOI":"10.2334\/josnusd.48.239"},{"key":"2025082700351505000_2014.may26_1.bcr2013008760.9","first-page":"402","article-title":"Hereditary familial polyposis and Gardner's syndrome: contribution of the odonto-stomatology examination in its diagnosis and a case description","volume":"10","author":"Chimenos-Kustner","year":"2005","journal-title":"Med Oral Patol Oral Cir Bucal"},{"key":"2025082700351505000_2014.may26_1.bcr2013008760.10","unstructured":"Townsend Jr CM, Beauchamp RD, Evers BM, et al. Sabiston Textbook of Surgery, 19th ed. Philadelphia: Saunders Elsevier, 2012:1346."},{"key":"2025082700351505000_2014.may26_1.bcr2013008760.11","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa021735"},{"key":"2025082700351505000_2014.may26_1.bcr2013008760.12","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa021633"},{"key":"2025082700351505000_2014.may26_1.bcr2013008760.13","first-page":"526","article-title":"Clinical management of adenomatous polyposis in patients with hereditary non-polyposis colorectal cancer and familial adenomatous polyposis","volume":"86","author":"Sheng","year":"2006","journal-title":"Zhonghua Yixue Zazhi"},{"key":"2025082700351505000_2014.may26_1.bcr2013008760.14","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-05-0028"},{"key":"2025082700351505000_2014.may26_1.bcr2013008760.15","doi-asserted-by":"publisher","DOI":"10.1158\/1078-0432.CCR-04-2379"},{"key":"2025082700351505000_2014.may26_1.bcr2013008760.16","doi-asserted-by":"publisher","DOI":"10.1042\/BST0330667"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-008760","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T07:35:26Z","timestamp":1756280126000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-008760"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,5,26]]},"references-count":16,"alternative-id":["10.1136\/bcr-2013-008760"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-008760","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2014,5,26]]}}}