Abstract
We report a sporadic case of a familial adenomatous polyposis coli (FAP) in a 25-year-old male who came with no family history of the same. FAP is the most common inherited adenomatous polyposis syndrome. Because of its rarity, the incidence in a developing country like ours is unknown. It is characterized by more than 100 adenomatous polyps and if left untreated carries a 100% risk of progression to colorectal cancer by the fourth decade. The early recognition and characterization of the polyposis syndrome is vital since early intervention and surgery will help in prevention against the development of invasive colorectal cancer.