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Journal of Medical Case Reports

, 2:314

First Online: 30 September 2008Received: 13 October 2007Accepted: 30 September 2008DOI: 10.1186-1752-1947-2-314

Cite this article as: Kelly, S., Dwerryhouse, S., Safranek, P. et al. J Med Case Reports 2008 2: 314. doi:10.1186-1752-1947-2-314


IntroductionJuvenile polyposis syndromeJPS is a rare autosomal dominant inherited condition. Hamartomatous polyps can affect the entire gastrointestinal tract but usually predominate in the colon. In this case report we present an unusual case of JPS that presented with massive gastric polyposis requiring a total gastrectomy.

Case presentationA 51-year-old man presented with symptoms of gastric outlet obstruction and upper gastrointestinal bleeding. Gastroscopy showed massive gastric polyposis with a large antral polyp that had prolapsed through the pylorus causing gastric outlet obstruction. Initially endoscopic polypectomy was performed, but due to progressive symptoms a total gastrectomy was then performed. Histology confirmed massive gastric juvenile polyposis.

ConclusionMassive gastric polyposis is an uncommon manifestation of juvenile polyposis syndrome. This case illustrates important principles in managing this condition.

Electronic supplementary materialThe online version of this article doi:10.1186-1752-1947-2-314 contains supplementary material, which is available to authorized users.

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Autor: Steven Kelly - Simon Dwerryhouse - Peter Safranek - Richard Hardwick

Fuente: https://link.springer.com/

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