Background: Solitary hamartomatous polyps (SHPs) are rare lesions. Endoscopic full-thickness resection (EFTR) is a highly efficient and minimally invasive endoscopic procedure that benefits from complete lesion removal and high safety.
Case summary: A 47-year-old man was admitted to our hospital after experiencing hypogastric pain and constipation for over fifteen days. Computed tomography and endoscopy revealed a giant pedunculated polyp (approximately 18 cm long) in the descending and sigmoid colon. This is the largest SHP reported to date. Having considered the condition of the patient and mass growth, the polyp was removed using EFTR.
Conclusion: On the basis of clinical and pathological evaluations, the mass was considered an SHP.
Keywords: Case report; Descending colon; Diagnosis; Endoscopic full-thickness resection; Solitary hamartomatous polyp; Treatment.
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