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Intussusception of the small bowel due to Peutz-Jeghers syndrome: a case report

M Pitiakoudis1, K Mimidis, A Tsaroucha

  • 12nd Department of Surgery, Medical School, Democritus University of Thrace, Alexandroupolis, Greece.

Annali Italiani Di Chirurgia
|July 31, 2004
PubMed

Insights

Peutz-Jeghers syndrome, a genetic disorder, can cause rare surgical complications like intussusception. This case highlights a young woman with jejunal intussusception due to Peutz-Jeghers syndrome.

Area of Science:

  • Gastroenterology
  • Genetics
  • Surgical Pathology

Background:

  • Peutz-Jeghers syndrome is an autosomal dominant disorder.
  • Characterized by gastrointestinal hamartomatous polyposis, melanin pigmentation, and increased cancer risk.
  • Surgical complications are rare but associated with polyp size and location.

Observation:

  • A 27-year-old woman presented with abdominal pain, distention, and vomiting.
  • Oral melanin pigmentation was noted.
  • Symptoms suggested jejunal intussusception and occlusion.

Findings:

  • Small bowel enema and CT scan indicated double jejunal intussusception.
  • Laparotomy confirmed the diagnosis.
  • This highlights a rare surgical complication of Peutz-Jeghers syndrome.

Implications:

  • Early diagnosis and surgical intervention are crucial for managing Peutz-Jeghers syndrome complications.
  • Understanding polyp-related risks is vital for patient care.
  • This case underscores the importance of considering rare presentations in genetic disorders.

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