Giant solitary Peutz-Jeaghers-Type Hamartomatous Polyp in th
An 18 year old girl presented with history of recurrent non bilious vomiting of 4 month duration associated with vague upper abdominal pain. On abdominal examination, she had a mass in right hypochondrium with features suggestive of mass arising from the pancreas. She didn’t have any peri oral muco cutaneous pigmentation. Oesophago gastro duodenoscopy (OGD scopy) revealed a polypoidal mass of about 10 × 6 cm arising from the medial wall of second part of duodenum close to ampulla of vater (Figure 1A). Biopsy from the mass was reported as villous adenoma with severe dysplasia. Contrast Enhanced Computed Tomography (CECT) of the abdomen revealed mass of size arising from the second part of duodenum with loss of fat planes with pancreatic head...

http://www.omicsonline.com/open-access/giant-solitary-peutzjeagherstype-hamartomatous-polyp-in-theduodenum-presenting-as-gastric-outlet-obstruction-1584- 9341-12-2-7.php?aid=79411
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