A solitary Peutz-Jeghers type polyp in the jejunum of a 19 year-old male

A 19-year old male presented with melena and anemia. A duodenoscopy revealed no abnormalities, but a small bowel X-ray series demonstrated a large jejunal polyp. This 4 cm large polyp was visualised during peroperative small bowel endoscopy and was subsequently surgically removed. The polyp had the...

Full description

Saved in:
Bibliographic Details
Published in:Cases journal 2008-07, Vol.1 (1), p.68-68, Article 68
Main Authors: Ter Borg, Pieter Pcj, Westenend, Pieter Pj, Hesp, Fried Wlem, van der Straaten, Frans F, van de Vrie, Wim W, Honkoop, Pieter P
Format: Article
Language:English
Subjects:
Care and treatment
Case Report
Case studies
Diagnosis
Intestinal polyps
Peutz-Jeghers syndrome
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:A 19-year old male presented with melena and anemia. A duodenoscopy revealed no abnormalities, but a small bowel X-ray series demonstrated a large jejunal polyp. This 4 cm large polyp was visualised during peroperative small bowel endoscopy and was subsequently surgically removed. The polyp had the characteristic histologic appearance of a Peutz-Jeghers type polyp, but the patient had no other signs of Peutz-Jeghers syndrome, such as the characteristic mucocutaneous pigmentation, the presence of multiple polyps or a positive family history. After removal of the polyp, melena did not recur and his hemoglobin concentration normalized. Altogether, the patient does not fulfill the diagnostic criteria for Peutz-Jeghers syndrome and appears to have a solitary jejunal Peutz-Jeghers type polyp. All previously reported patients with such polyps were older than this patient.
ISSN:1757-1626
1757-1626
DOI:10.1186/1757-1626-1-68