A Giant And Extensive Solitary Peutz-Jeghers-Type Polyp In The Antrum Of Stomach Case Report

Rationale: A solitary Peutz-Jeghers-type polyp is a hamartomatous polyp which without either mucocutaneous pigmentation or a family history of Peutz-Jeghers syndrome (PJS). It can occur in all of the gastrointestinal tract, but it is extremely rare in the stomach.Patient concerns: A 53-year-old man was admitted to the local hospital with left upper abdominal pain lasting 2 weeks. A gastroscopy showed a giant and extensive bulging lesion on the greater curvature and posterior and anterior walls of the gastric antrum, involving three-quarters of the gastric wall. Endoscopic ultrasonography showed a muscularis mucosa lesion.Diagnoses: A solitary Peutz-Jeghers-type polyp in the antrum of stomach. Interventions: The patient underwent an endoscopic submucosal dissection (ESD).Outcomes: The patient recovered quickly, without any complications.Lessons: This is the second largest gastric solitary Peutz-Jeghers-polyp reported until now, and the largest gastric solitary Peutz-Jeghers type-polyp treated by endoscope.