Ye L, Zhong JH, Liu YP, Chen DD, Ni SY, Peng FQ, Zhang S. Extensively infarcted giant solitary hamartomatous polyp treated with endoscopic full-thickness resection: A case report. World J Clin Cases 2023; 11(8): 1782-1787 [PMID: 36969998 DOI: 10.12998/wjcc.v11.i8.1782]
Corresponding Author of This Article
Shuo Zhang, PhD, Chief Doctor, Professor, Department of Gastroenterology, The Second Affiliated Hospital of Zhejiang Chinese Medical University, No. 318 Chaowang Road, Gongshu District, Hangzhou 310005, Zhejiang Province, China. zhangshuotcm@163.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Mar 16, 2023; 11(8): 1782-1787 Published online Mar 16, 2023. doi: 10.12998/wjcc.v11.i8.1782
Extensively infarcted giant solitary hamartomatous polyp treated with endoscopic full-thickness resection: A case report
Lu Ye, Ji-Hong Zhong, Yong-Pan Liu, Dan-Dan Chen, Si-Yi Ni, Fa-Quan Peng, Shuo Zhang
Lu Ye, Dan-Dan Chen, The Second Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou 310053, Zhejiang Province, China
Ji-Hong Zhong, Yong-Pan Liu, Si-Yi Ni, Shuo Zhang, Department of Gastroenterology, The Second Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou 310005, Zhejiang Province, China
Fa-Quan Peng, Department of Pathology, The Second Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou 310005, Zhejiang Province, China
Author contributions: Ye L consulted the literature and drafted the manuscript; Zhong JH and Liu YP developed the patient's treatment plan and revised the manuscript; Chen DD and Ni SY contributed to the diagnosis and treatment of the patient; Peng FQ made a pathological diagnosis; Zhang S completed colonoscopy surgery; All authors gave final approval for the version to be submitted.
Supported bythe Natural Science Foundation of Zhejiang Province, China, No. LY21H290004.
Informed consent statement: Informed written consent was obtained from the patient regarding the publication of this report and accompanying images.
Conflict-of-interest statement: All the authors have no conflict of interest to declare.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Shuo Zhang, PhD, Chief Doctor, Professor, Department of Gastroenterology, The Second Affiliated Hospital of Zhejiang Chinese Medical University, No. 318 Chaowang Road, Gongshu District, Hangzhou 310005, Zhejiang Province, China. zhangshuotcm@163.com
Received: September 30, 2022 Peer-review started: September 30, 2022 First decision: January 3, 2023 Revised: January 17, 2023 Accepted: February 15, 2023 Article in press: February 15, 2023 Published online: March 16, 2023
Abstract
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.
Core Tip: Solitary hamartomatous polyps (SHPs) are rarely encountered and seldom reported in the literature. Most SHPs occur in the stomach and small intestine. An SHP in the descending colon has not been reported previously. In this report, we describe a giant pedunculated polyp, approximately 18 cm long, diagnosed as an extensively pedunculated giant SHP. We successfully resected this polyp using endoscopic full-thickness resection, which provides a viable option for the clinical resection of giant pedunculated polyps.
