We highlight an unusual case of familial adenomatous polyposis (FAP) presenting initially with gout, jaundice and a periampullary carcinoma. This case may be of interest to clinicians involved in the diagnosis and management of FAP and follow-up of patients after surgical resection.
Keywords: adenoma; adenomatous polyposis coli; ampulla of vater; colectomy; common bile duct neoplasms; familial adenomatous polyposis; gout.