Annals of African Medicine
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CASE REPORT
Year : 2021  |  Volume : 20  |  Issue : 4  |  Page : 307-309

Solitary peutz–jeghers type hamartoma in a Nigerian: A case report of a rare finding and review of literature


1 ReMay Consultancy and Medical Services, Ikeja, Lagos State, Nigeria
2 Department of Medicine, College of Medicine, University of Lagos, Lagos, Nigeria
3 Department of Anatomic and Molecular Pathology, Lagos University Teaching Hospital, Lagos, Nigeria

Correspondence Address:
Aderemi O Oluyemi
ReMay Consultancy and Medical Services, Ikeja, Lagos State
Nigeria
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aam.aam_37_20

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Background: We report a case of solitary Peutz–Jeghers (P-J) type hamartomatous polyp in the sigmoid colon of an asymptomatic Nigerian without other diagnostic criteria for full-blown P-J syndrome. Case Report: During colonoscopy for a 58-year-old man, a solitary, pedunculated polyp was seen in the sigmoid colon. Histopathological examination of the endoscopically resected mass revealed the classical features of P-J type hamartoma. A search for lentigines on the skin or mucous buccal membranes was negative. There is no family history of such findings. Conclusion: The case here presented is truly rare as a review of the scientific literature appears, to the best of our knowledge, not to contain such a unique presentation from our locality nor indeed from among Black Africans. We conducted a review of the literature and wished to highlight the evolving concept that solitary P-J polyps be considered a distinct disease entity when it appears in the absence of other features of the syndrome complex.


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