title: Giant rectal polyp prolapse in an adult patient with the Peutz-Jeghers syndrome.
abstract: Peutz-Jeghers Syndrome (PJS) is an autosomal dominant intestinal polyposis syndrome characterised by the presence of hamartomatous polyps and mucocutaneous pigmentation. Prolapse of the polyps through the anus is an infrequent manifestation in children with PJS, and this complication is extremely rare in adult patients. We report the case of a 30-year-old man recently diagnosed with PJS who was seen at the emergency department because of the abrupt onset of severe anal pain with a foreign body sensation in the anal canal and rectal bleeding.Physical examination revealed a giant prolapsed polyp.
authors.affiliation: Labortorio de Fisiologia DIgestiva y Motilidad, Instituto de Investigaciones Medico Biologicas, Veracruz, Mexico.
authors.forename: Ana Delfina
authors.initials: AD
authors.lastname: Cano-Contreras
authors.affiliation: Laboratorio de Motilidad y Fisiologia DIgestiva, Instituto de Investigaciones Medico Biologicas, Boca del Rio, Mexico.
authors.forename: Arturo
authors.initials: A
authors.lastname: Meixueiro-Daza
authors.affiliation: Department of Surgery, Hospital Español de Veracruz, Veracruz, Mexico.
authors.forename: Peter
authors.initials: P
authors.lastname: Grube-Pagola
authors.affiliation: Labortorio de Fisiologia DIgestiva y Motilidad, Instituto de Investigaciones Medico Biologicas, Veracruz, Mexico Instituto de Investigaciones Medico Biologicas, Veracruz, Mexico.
authors.forename: Jose Maria
authors.initials: JM
authors.lastname: Remes-Troche
mesh_terms: D000328:Adult; D002400:Cathartics / Q000627:therapeutic use; D003937:Diagnosis, Differential; D006801:Humans; D007417:Intestinal Polyps / Q000150:complications* / Q000188:drug therapy; D008297:Male; D010580:Peutz-Jeghers Syndrome / Q000150:complications*; D011620:Psyllium / Q000627:therapeutic use; D012005:Rectal Prolapse / Q000150:complications* / Q000188:drug therapy
chemical_list: D002400:Cathartics; D011620:Psyllium