Publication: Peutz-Jehger’s Syndrome presenting as adult intussusception
Date
2009
Article Type
Case Report
Journal Title
Journal ISSN
ISSN (Print) : 1993-2979 | ISSN (Online) : 1993-2987
Volume Title
Pages
Pages: 30 - 32
Publisher
Institute of Medicine
Abstract
Abstract
Abstract: Peutz- Jehger’s syndrome is an autosomal dominant disorder. It is the second most common hamartomatous syndrome with hamartomatous polyp of gastrointestinal tract and cutaneous melanin deposit. Majority of patients remain relatively asymptomatic. Some present with abdominal pain secondary to obstruction or impending obstruction owing to an intussuscepted polyp with GI bleeding. We report a case of 21 year male who presented with upper central abdominal pain, distension, vomiting and blood mixed stool. He also had black colored spots on perioral region and fingers. Ultrasound revealed mass lesion with echogenic centre suggestive of intussusception. Emergency laparotomy revealed jejunojejunal intususception with gangreneous intussusceptum and two other large polyps. Resection anastomosis of jejunum and excision of polyps was done. Peutz – Jehger’s syndrome is a rare but important cause of intussusception in adults presenting with cutaneous manifestations and features of intestinal obstruction
Keywords: Cutaneous melanin, Hamartomatous polyp, Intussusception, Peutz Jegher’s syndrome
Description
Z. Athar
Department of Surgery, Tribhuvan University Teaching Hospital, Institute of Medicine
A. Rajbhandari
Department of Surgery, Tribhuvan University Teaching Hospital, Institute of Medicine
P. Kansakar
Department of Surgery, Tribhuvan University Teaching Hospital, Institute of Medicine
Y.P. Singh
Department of Surgery, Tribhuvan University Teaching Hospital, Institute of Medicine
P. Vaidya
Department of Surgery, Tribhuvan University Teaching Hospital, Institute of Medicine
Keywords
Cutaneous melanin, Hamartomatous polyp, Intussusception, Peutz Jegher’s syndrome
Identifier
https://doi.org/10.59779/jiomnepal.374