Giant rectal polyp prolapse in an adult patient with the Peutz-Jeghers syndrome

BMJ Case Rep. 2016 Jul 21:2016:bcr2016215629. doi: 10.1136/bcr-2016-215629.

Abstract

Peutz-Jeghers Syndrome (PJS) is an autosomal dominant intestinal polyposis syndrome characterised by the presence of hamartomatous polyps and mucocutaneous pigmentation. Prolapse of the polyps through the anus is an infrequent manifestation in children with PJS, and this complication is extremely rare in adult patients. We report the case of a 30-year-old man recently diagnosed with PJS who was seen at the emergency department because of the abrupt onset of severe anal pain with a foreign body sensation in the anal canal and rectal bleeding.Physical examination revealed a giant prolapsed polyp.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cathartics / therapeutic use
  • Diagnosis, Differential
  • Humans
  • Intestinal Polyps / complications*
  • Intestinal Polyps / drug therapy
  • Male
  • Peutz-Jeghers Syndrome / complications*
  • Psyllium / therapeutic use
  • Rectal Prolapse / complications*
  • Rectal Prolapse / drug therapy

Substances

  • Cathartics
  • Psyllium