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 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.
Ter Borg
Pieter Pcj
PP
Department of Gastroenterology, Albert Schweitzer Hospital, Dordrecht, The Netherlands. pterborg@gmail.com.
Westenend
Pieter Pj
PP
Hesp
Fried Wlem
FW
van der Straaten
Frans F
FF
van de Vrie
Wim W
WW
Honkoop
Pieter P
PP