First case of serrated lesion of the duodenal papilla in a patient with serrated colonic polyposis

Aymeric Becq; Santiago Gimenez de Mestral; Marine Camus; Jean-François Fléjou; Xavier Dray

doi:10.1016/j.clinre.2020.06.010

First case of serrated lesion of the duodenal papilla in a patient with serrated colonic polyposis

Clin Res Hepatol Gastroenterol. 2021 May;45(3):101484. doi: 10.1016/j.clinre.2020.06.010. Epub 2020 Jul 7.

Authors

Aymeric Becq¹, Santiago Gimenez de Mestral², Marine Camus³, Jean-François Fléjou², Xavier Dray³

Affiliations

¹ Sorbonne Université, Endoscopy Unit, AP-HP, Hôpital Saint-Antoine, 75012 Paris, France. Electronic address: [email protected].
² Sorbonne Université, Pathology Department, AP-HP, Hôpital Saint-Antoine, 75012 Paris, France.
³ Sorbonne Université, Endoscopy Unit, AP-HP, Hôpital Saint-Antoine, 75012 Paris, France.

PMID: 32651077
DOI: 10.1016/j.clinre.2020.06.010

Abstract

A serrated polyposis syndrome was diagnosed in a 26-year-old female presenting with gastrointestinal symptoms. Screening for other lesions of the gastrointestinal tract showed a serpiginous looking papilla, described as possibly dysplastic. Histological analysis of biopsies showed a serrated lesion. This case describes the first known association between a duodenal serrated lesion and serrated polyposis syndrome. Upper GI screening is probably of little interest in this setting. In patients with upper GI serrated lesions, we recommend screening colonoscopy.

Keywords: Duodenal serrated lesion; Screening endoscopy procedures; Serrated polyposis.

Publication types

Case Reports

MeSH terms

Adult
Biopsy
Colon
Colonic Polyps* / diagnosis
Colonoscopy*
Duodenum
Female
Humans