Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Case report
Table of Contents - Year : 2016 | Month : July | Volume : 10 | Issue : 7 | Page : OD03 - OD04

A Rare Case of Solitary Peutz Jeghers Type Hamartomatous Duodenal Polyp with Dysplasia! OD03-OD04

Chetan Devendra Rathi, Dattatray Balasaheb Solanke, Nikita Lalitkumar Kabra, Meghraj Ananda Ingle, Prabha Dilip Sawant

Correspondence
Dr. Chetan Devendra Rathi,
Senior Resident, Department of Gastroenterology, Lokmanya Tilak Municipal Medical College and General Hospital,
Sion, Mumbai 400022, India.
E-mail: cdrathi@gmail.com

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.