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Open Access Case Report

A solitary Peutz-Jeghers type polyp in the jejunum of a 19 year-old male

Pieter PCJ ter Borg1*, Pieter PJ Westenend2, Fried WLEM Hesp3, Frans F van der Straaten4, Wim W van de Vrie1 and Pieter P Honkoop1

Author Affiliations

1 Department of Gastroenterology, Albert Schweitzer Hospital, Dordrecht, The Netherlands

2 Laboratory for Pathology Dordrecht, The Netherlands

3 Department of Surgery, Albert Schweitzer Hospital, Dordrecht, The Netherlands

4 Department of Radiology, Albert Schweitzer Hospital, Dordrecht, The Netherlands

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Cases Journal 2008, 1:68  doi:10.1186/1757-1626-1-68

Published: 31 July 2008

Abstract

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.