A Case Report of Peutz-Jeghers Syndrome with a Giant Colon Polyp

Abstract

A 16-year-old female, with nothing especially about her family history, was pointed out dark brown pigmentations in her lips and extremities. A dermatologist reffered her to our department as Peutz-Jeghers syndrome.
Upper and lower endoscopy showed multiple polyps in the stomach and colon. The X-ray study revealed many polyps in the small intestine. She was hospitalized for the colon polypectomy, but a giant polyp 4×5cm in size in the ascending colon could not be polypectomized because of difficulties in the technique. Her colon and jejunum were partly resected by surgeon. We polypectomized polyps in the jejunum during operation and in the stomach after operation.
This case suggested us the indication of endoscopic polypectomy for a huge polyp. In Peutz-Jeghers syndrome we must detect gastrointestinal polyps in smaller size and polypectomize them by endoscopy in the follow-up study.