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Case Report
 
Duodenojejunal intussusception caused by a solitary Peutz - Jeghers type hamartomatous polyp
Alexandra Deduchova1, Petr Volsansky2, Filip Neumann3, Radim Zalud4
1MD, Physician, Endoscopy Centre, Regional Hospital of Kolin, Czech Repuplic.
2MD, Chief of Department, Endoscopy Centre, Regional Hospital of Kolin, Czech Republic.
3MD, Deputy Chief of Department, Endoscopy Centre, Regional Hospital of Kolin, Czech Republic.
4MD, Chief of Pathology Department, Regional Hospital of Kolin, Czech Republic.

doi:10.5348/ijcri-201580-CR-10541

Address correspondence to:
Alexandra Deduchova
MD, Endoscopy Centre
Regional Hospital of Kolin
Czech Republic
Phone: 00420321756209
Fax: 00420321756199

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How to cite this article
Deduchova A, Volsansky P, Neumann F, Zalud R. Duodenojejunal intussusception caused by a solitary Peutz–Jeghers type hamartomatous polyp. Int J Case Rep Images 2015;6(8):481–484.


Abstract
Introduction: A solitary Peutz-Jeghers type hamartomatous polyp in the duodenum is rare. As compared with Peutz-Jeghers syndrome, Peutz-Jeghers type hamartomatous polyps are regarded as a different disorder.
Case Report: We are reporting a case of a solitary hamartomatous polyp in the duodenum. A 24-year-old female was referred to our hospital with a diagnosis of duodenojejunal intussusception. We identified a polyp in the distal part of the duodenum. The patient underwent an endoscopic polypectomy. The polyp was confirmed to be a Peutz-Jeghers type of hamartomatous polyp. The patient underwent colonoscopy and small intestines follow-up with no evidence other polyps.
Conclusion: Previous reports have shown that solitary Peutz-Jeghers type hamartomatous polyps have malignant components in some cases. Patients with a duodenal solitary hamartomatous polyp should undergo treatment with complete removal of polyp and they need periodical follow-up examinations.

Keywords: Peutz-Jeghers syndrome, Solitary Peutz-Jeghers type polyp, endoscopic polypectomy, duodenal polyp, hamartoma


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Author Contributions
Alexandra Deduchova – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Petr Volsansky – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Filip Neumann – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Radim Zalud – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
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Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2015 Alexandra Deduchova et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.