title: A Rare Case of Solitary Peutz Jeghers Type Hamartomatous Duodenal Polyp with Dysplasia!
abstract: Solitary Peutz Jeghers (SPJ) type hamartomatous polyp is a rare and separate entity from classic Peutz Jeghers syndrome (PJS). A hamartomatous polyp without associated mucocutaneous pigmentations, any other gastrointestinal polyp or a family history of PJS is diagnosed as a SPJ type polyp. We described a case of 22-year-old young man in whom solitary duodenal polyp was incidentally detected and resected. Histopathological examination revealed PJ type hamartomatous polyp with foci of adenomatous and moderate dysplastic change. Very few cases of solitary duodenal PJ type hamartomatous polyps with malignant transformation have been reported. They can be treated with endoscopic or surgical resection. Endoscopic ultrasound can give an idea about the depth of involvement. This is a rare case of duodenal solitary PJ polyp with dysplasia in a young patient.
authors.affiliation: Senior Resident, Department of Gastroenterology, Lokmanya Tilak Municipal Medical College and General Hospital , Sion, Mumbai, India .
authors.forename: Chetan Devendra
authors.initials: CD
authors.lastname: Rathi
authors.affiliation: Senior Resident, Department of Gastroenterology, Lokmanya Tilak Municipal Medical College and General Hospital , Sion, Mumbai, India .
authors.forename: Dattatray Balasaheb
authors.initials: DB
authors.lastname: Solanke
authors.affiliation: Senior Resident, Department of Radiodiagnosis, Lokmanya Tilak Municipal Medical College and General Hospital , Sion, Mumbai, India .
authors.forename: Nikita Lalitkumar
authors.initials: NL
authors.lastname: Kabra
authors.affiliation: Associate Professor, Department of Gastroenterology, Lokmanya Tilak Municipal Medical College and General Hospital , Sion, Mumbai, India .
authors.forename: Meghraj Ananda
authors.initials: MA
authors.lastname: Ingle
authors.affiliation: Professor and Head, Department of Gastroenterology, Lokmanya Tilak Municipal Medical College and General Hospital , Sion, Mumbai, India .
authors.forename: Prabha Dilip
authors.initials: PD
authors.lastname: Sawant
keywords: Contrast enhanced computed tomography; Endoscopic resection; Endoscopic ultrasound; Mucocutaneous pigmentation; Peutz jeghers syndrome