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Multiple intestinal intussusceptions in Peutz-Jeghers' syndrome: a case report

F Basak1, E Kinaci, S Aksoy

  • 1Department of General Surgery, TC SB Istanbul Education and Research Hospital, Konya, Turkey. fatihbasak@gmail.com

Acta Chirurgica Belgica
|March 24, 2010
PubMed

Insights

Peutz-Jeghers' syndrome (PJS) patients often face intussusceptions. This case highlights surgical management for multiple intussusceptions to extend symptom-free intervals in a young woman.

Area of Science:

  • Gastroenterology
  • Genetics
  • Surgical Oncology

Background:

  • Peutz-Jeghers' syndrome (PJS) is an autosomal dominant disorder.
  • Characterized by mucocutaneous pigmentation and gastrointestinal hamartomatous polyps.
  • PJS patients are prone to intussusception, leading to complications like short bowel syndrome after repeated surgeries.

Observation:

  • A 20-year-old woman presented with recurrent intestinal intussusceptions.
  • The patient underwent multiple enterotomies and intestinal resections.
  • Surgical intervention aimed to prolong the asymptomatic period.

Findings:

  • Multiple intestinal intussusceptions occurred in a young PJS patient.
  • Surgical management involved enterotomies and resections.
  • The goal was to achieve a longer symptom-free duration.

Implications:

  • Aggressive surgical management may be necessary for recurrent intussusceptions in PJS.
  • Careful consideration of surgical timing and extent is crucial.
  • Minimizing bowel resection is key to preventing short bowel syndrome in PJS management.

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