Open AccessA giant and extensive solitary Peutz–Jeghers-type polyp in the antrum of stomach
Author(s) -
Baicang Zou,
Feng-Fan Wang,
Gang Zhao,
Xiaolan Lu,
Li Zhang,
Ping Zhao,
Hai-Tao Shi,
Bin Qin,
Xiaodan Guo,
Jing Zhang
Publication year - 2017
Publication title -
medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.59
H-Index - 148
eISSN - 1536-5964
pISSN - 0025-7974
DOI - 10.1097/md.0000000000008466
Subject(s) - medicine , peutz–jeghers syndrome , stomach , curvatures of the stomach , lesion , gastroenterology , surgery
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.