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Multiple intestinal intussusceptions in Peutz-Jeghers' syndrome: a case report
1Department of General Surgery, TC SB Istanbul Education and Research Hospital, Konya, Turkey. fatihbasak@gmail.com
Acta Chirurgica Belgica
|March 24, 2010
Summary
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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