PMC3895680_01
Labial hyperpigmentation.
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F1
Mucocutaneous pigmentation was noted on her lips and oral mucosa (Figure 1).
Computerized tomography shows target sign and duodenal obstruction (arrows).
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F2
Her intra- and extra-hepatic biliary tracts were found to be dilated, which was a result of the compression of invaginated jejunal segments on the papilla (Figure 2).
The polyp was excised through an enterotomy.
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F3
We performed total excision of the polyps through an enterotomy at the last part of her duodenum (Figure 3).
Hamartomatous polyp with branching muscular scaffolding and adenomatous changes.
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F4
Immunohistochemical examination showed branching smooth muscle bands in the stroma of the polyp as typically seen in hamartomatous polyps of PJS (Figure 4).