Gut Liver.  2014 Nov;8(6):680-682. 10.5009/gnl14044.

Contrast-Enhanced Ultrasound Defines Vascularization Pattern of Hamartomatous Colonic Polyps in Peutz-Jeghers Syndrome

• Badea R
• Ciobanu L
• Botan E
• Pojoga C
• Tantau M

• KMID: 2070088
• DOI: http://doi.org/10.5009/gnl14044

Abstract

The hamartomatous polyps in Peutz-Jeghers syndrome may have malignant potential. To differentiate between hamartomatous and adenomas polyps, vascular characterization can be assessed using noninvasive procedures, such as contrast-enhanced ultrasound (CEUS). The neo-angiogenic characteristics of colorectal adenomas and carcinomas are expressed as an anarchic vascular pattern observed on CEUS. Using CEUS in a patient with Peutz-Jeghers syndrome, we describe for the first time the vascularization of a hamartomatous colonic polyp that exhibits a hierarchy branching pattern.

Keyword

Colonic polyps; Peutz-Jeghers sydrome; Ultrasound

MeSH Terms

Adult
Colonic Polyps/etiology/*ultrasonography
Contrast Media/diagnostic use
Female
Hamartoma/blood supply/etiology/*ultrasonography
Humans
Peutz-Jeghers Syndrome/complications/*ultrasonography
Ultrasonography, Doppler, Color
Contrast Media