alexa Giant solitary Peutz-Jeaghers-Type Hamartomatous Polyp in the Duodenum Presenting as Gastric Outlet Obstruction
[Jurnalul de Chirurgie]
ISSN: 1584-9341

Journal of Surgery
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Case Report

Giant solitary Peutz-Jeaghers-Type Hamartomatous Polyp in the Duodenum Presenting as Gastric Outlet Obstruction

Vishwas Pai D1*, Chandrashekhar Kerudi B1, Vidhya Manohar2, Suvarna Ravindranath2, Narayan M1 and Basavaraj Kerudi H1

1Department of Surgical Oncology, Kerudi Cancer Hospital, Bagalkot, India

2Department of Pathology, SRL Diagnostics, Karnataka, India

Corresponding Author:
Vishwas Pai D
Department of Surgical Oncology
Kerudi Cancer Hospital
Bagalkot 587101
Karnataka, India
Tel: +91-9449333502
E-mail: [email protected]

Received date: April 12, 2016; Accepted date: May 12, 2016; Published date: May 19, 2016

Citation: Pai VD, Chandrashekhar Kerudi B, Manohar V, Ravindranath S, Narayan M, et al. Giant solitary Peutz-Jeaghers-Type Hamartomatous Polyp in the Duodenum Presenting as Gastric Outlet Obstruction. Journal of Surgery [Jurnalul de chirurgie]. 2016; 12(2):75-77 DOI:10.7438/1584-9341-12-2-7

Copyright: © 2016 Vishwas Pai D, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



Solitary Peutz-Jeghers type hamartomatous polyp is a variant of PJS characterized by the presence of hamartomatous polyps in the absence of other manifestations of PJS. It is quite rare with only 19 cases reported in English literature. These cases present in older individuals are usually asymptomatic and carry increased risk of malignant transformation. Hamartomatous polyps are characterized histologically by tree-like branching of smooth muscle fibres covered by mucosal tissue of near normal appearance. Endoscopically, they are characterized by a lobular or nodular surface and whitish colour. We are presenting a case of giant Solitary Peutz-Jeghers type hamartomatous polyp of the duodenum who presented with symptoms of gastric outlet obstruction that was treated with pylorus preserving pancreaticoduodenectomy.


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