A giant and extensive solitary Peutz-Jeghers-type polyp in the antrum of stomach Case report

作者：Zou, Bai-Cang; Wang, Feng-Fan; Zhao, Gang; Lu, Xiao-Lan^*; Zhang, Li; Zhao, Ping; Shi, Hai-Tao; Qin, Bin; Guo, Xiao-Dan; Zhang, Jing

来源：Medicine, 2017, 96(49): e8466.

DOI：10.1097/MD.0000000000008466

• case report
• endoscopic submucosal dissection
• endoscopic ultrasonography
• hamartomatous polyp
• peutz-jeghers-type polyp

Rationale: A solitary Peutz-Jeghers-type polyp is a hamartomatous polyp which without either mucocutaneous pigmentation or a family history of Peutz-Jeghers syndrome (PJS). It can occur in all of the gastrointestinal tract, but it is extremely rare in the stomach.
Patient concerns: A 53-year-old man was admitted to the local hospital with left upper abdominal pain lasting 2 weeks. A gastroscopy showed a giant and extensive bulging lesion on the greater curvature and posterior and anterior walls of the gastric antrum, involving three-quarters of the gastric wall. Endoscopic ultrasonography showed a muscularis mucosa lesion.
Diagnoses: A solitary Peutz-Jeghers-type polyp in the antrum of stomach. Interventions: The patient underwent an endoscopic submucosal dissection (ESD).
Outcomes: The patient recovered quickly, without any complications.
Lessons: This is the second largest gastric solitary Peutz-Jeghers-polyp reported until now, and the largest gastric solitary Peutz-Jeghers type-polyp treated by endoscope.

• 出版日期2017-12
• 单位西安交通大学