Gastric polyposis: case report and review of the literature

Authors

DOI:

https://doi.org/10.11606/issn.1679-9836.v100i1p90-93

Keywords:

Gastric polyposis, Peütz-Jeguers syndrome, Gastric hamartomatous polyps

Abstract

ound in routine endoscopic examinations. We report a case of gastric polyposis manifested as Peütz-Jeghers Syndrome in a 25 years old female patient, with a history of abdominal pain in the epigastric region 12 days before hospital admission associated to vomits and hematemesis 3 days before admission. The patient underwent upper GI endoscopy, which showed multiple regular polypoid lesions with smooth surface. Computed tomography (CT scan) of the abdomen showed a large, coralliform and vegetative lesion of 16.3 x 10.2 x 5.4 cm. The surgical team chose to perform a total gastrectomy with Roux-en-Y reconstruction. The total surgery time was 150 min, with no further complications. Patient were in good clinical conditions, with no complications and was discharged on the 9th postoperative day. Histopathological study of the surgical specimen evidenced multiple gastric polyps of predominant hamartomatous pattern, with focal adenomatous transformation, free surgical margins, suggesting Peütz-Jeghers syndrome. Our patient did not demonstrate mucocutaneous hyperpigmentation, corroborating the fact that hyperpigmentation is not a “sine qua non” condition for the Peütz-Jeghers syndrome.

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Author Biographies

  • Rafael Fernandes Coêlho, Hospital da Restauração (HR)

    Chefe de plantão da Unidade de Trauma e Preceptor do Programa de Residência Médica em Cirurgia Geral do Hospital da Restauração (HR), Recife, Brasil.

  • Diego Laurentino Lima, Universidade de Pernambuco (UPE)

    Cirurgião Geral. Mestrando na Universidade de Pernambuco (UPE). Research fellow, Departamento de cirurgia do Montefiore Medical Center, NYC, EUA.

  • Raquel Nogueira Cordeiro Laurentino Lima, Faculdade Pernambucana de Saúde (FPS)

    Médica pela Faculdade Pernambucana de Saúde (FPS), Recife, Brasil. Médica e Pesquisadora, NYC, EUA. 

  • João Paulo Ribeiro, Hospital da Restauração (HR)

    Chefe do Serviço de Cirurgia Geral e Preceptor do Programa de Residência Médica em Cirurgia Geral do Hospital da Restauração (HR), Recife, Brasil.

  • Gilberto Lima, Hospital da Restauração (HR)

    Plantonista da Unidade de Trauma e Preceptor do Programa de Residência Médica em Cirurgia Geral do Hospital da Restauração (HR), Recife, Brasil.

  • Euclides Martins, Hospital da Restauração (HR)

    Preceptor do Programa de Residência Médica em Cirurgia Geral do Hospital da Restauração (HR), Recife, Brasil.

References

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Cauchin E, Touchefeu Y, Matysiak-Budnik T. Hamartomatous tumors in the gastrointestinal tract. Gastrointest Tumors. 2015;2(2):65–74. doi: https://doi.org/10.1159/000437175.

Zbuk KM, Eng C. Hamartomatous polyposis syndromes. Nat Clin Pract Gastroenterol Hepatol. 2007;4(9):492-502. doi: https://doi.org/10.1038/ncpgasthep0902.

Yoshizawa N, Yamaguchi H, Kaminishi M. Differential diagnosis of solitary gastric Peutz-Jeghers-type polyp with stomach cancer: a case report. Int J Surg Case Rep. 2018;51:261-4. doi: https://doi.org/10.1016/j.ijscr.2018.09.005.

Giardiello FM, Welsh SB, Hamilton SR, et al. Increased risk of cancer in the Peutz-Jeghers syndrome. N Engl J Med. 1987;316(24):1511–4. doi: https://doi.org/10.1056/NEJM198706113162404.

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Published

2021-03-17

Issue

Vol. 100 No. 1 (2021)

Section

Relato de Caso/Case Report

License

Copyright (c) 2021 Rafael Fernandes Coêlho, Diego Laurentino Lima, Raquel Nogueira Cordeiro Laurentino Lima, João Paulo Ribeiro, Gilberto Lima, Euclides Martins

Creative Commons License

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

How to Cite

Coêlho, R. F., Lima, D. L., Lima, R. N. C. L., Ribeiro, J. P., Lima, G., & Martins, E. (2021). Gastric polyposis: case report and review of the literature. Revista De Medicina, 100(1), 90-93. https://doi.org/10.11606/issn.1679-9836.v100i1p90-93