case_images: PMC3895680_01
case_images: Labial hyperpigmentation.
case_images: 1752-1947-8-13-1.jpg
case_images: PMC3895680_01_1752-1947-8-13-1.jpg
case_images: F1
case_images: Mucocutaneous pigmentation was noted on her lips and oral mucosa (Figure 1).
case_images: Computerized tomography shows target sign and duodenal obstruction (arrows).
case_images: 1752-1947-8-13-2.jpg
case_images: PMC3895680_01_1752-1947-8-13-2.jpg
case_images: F2
case_images: 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).
case_images: The polyp was excised through an enterotomy.
case_images: 1752-1947-8-13-3.jpg
case_images: PMC3895680_01_1752-1947-8-13-3.jpg
case_images: F3
case_images: We performed total excision of the polyps through an enterotomy at the last part of her duodenum (Figure 3).
case_images: Hamartomatous polyp with branching muscular scaffolding and adenomatous changes.
case_images: 1752-1947-8-13-4.jpg
case_images: PMC3895680_01_1752-1947-8-13-4.jpg
case_images: F4
case_images: Immunohistochemical examination showed branching smooth muscle bands in the stroma of the polyp as typically seen in hamartomatous polyps of PJS (Figure 4).