Korean Journal of Gastrointestinal Endoscopy 2010;41(1): 36-40.
충수에서 발생한 포이츠 예거 증후군을 동반하지 않은 과오종성 용종 1예
손위식ㆍ박주상ㆍ김지은ㆍ김봉환ㆍ유승희ㆍ한은미*
분당제생병원 소화기내과, *해부병리과
A Case of Hamartomatous Polyp without Peutz-Jeghers Syndrome Arising from Appendix
Wee Sik Sohn, M.D., Ju Sang Park, M.D., Ji Eun Kim, M.D., Bong Hwan Kim, M.D., Seung Hee Yoo, M.D. and Eun Mee Han, M.D.*
Departments of Internal Medicine and *Pathology, Bundang Jesaeng Hospital, Seongnam, Korea
Abstract
Peutz-Jeghers syndrome is a familial syndrome consisting of mucocutaneous pigmentation and gastrointestinal polyposis and appears to be inherited as a single pleiotropic autosomal dominant gene with variable and incomplete penetrance. Cases of hamartomatous polyps of the Peutz-Jeghers type without Peutz-Jeghers syndrome have only rarely been reported. Moreover, only one case of a Peutz-Jeghers polyp at the appendix has been reported; it was resected by appendectomy. We report here on a case of a 45 year old man who had a hamartomatous polyp of the Peutz-Jeghers type arising from the appendix. The polyp was successfully removed by endoscopic polypectomy. To our knowledge, this is the first case of a hamartomatous polyp of the Peutz-Jeghers type that originated from the appendix and that was resected endoscopically. (Korean J Gastrointest Endosc 2010;41:36-40)