Small Bowel Polyposis Without Diagnosis

A 19 year old male presents with nausea and vomiting. He is treated for gastroenteritis but returns with intussusception and small bowel obstruction that is managed conservatively. Two months later the intussusception recurs with 30 pound weight loss and hematochezia. An exploratory laparotomy is performed and a segment of jejunum with carpeting polyps is resected. He denies a history of cognitive delay and mucocutaneous freckling. On physical...