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Small bowel intussusception in a pregnant woman with Peutz-Jeghers Syndrome

Onur Tutar1, Burak Kocak, Mehmet Velidedeoglu

  • 1MD, Istanbul University, Cerrahpasa Medical Faculty, Department of Radiology, Istanbul, Turkey.

Scottish Medical Journal
|January 23, 2014
PubMed

Insights

Intussusception is a rare complication of Peutz-Jeghers Syndrome (PJS). This case highlights intussusception during pregnancy, a previously unreported occurrence in PJS patients.

Area of Science:

  • Gastroenterology
  • Oncology
  • Radiology

Background:

  • Peutz-Jeghers Syndrome (PJS) is a rare genetic disorder characterized by hamartomatous polyps in the gastrointestinal tract.
  • Intussusception, the telescoping of one segment of the intestine into another, is the most common complication of PJS, typically observed in children.
  • While intussusception can occur in adult PJS patients, it is infrequent.

Observation:

  • This report details a rare case of intussusception occurring during pregnancy in a patient with PJS.
  • The condition was secondary to Peutz-Jeghers (PJ) polyps.
  • Diagnosis was confirmed using magnetic resonance imaging (MRI).

Findings:

  • Intussusception in pregnant PJS patients is not previously documented in medical literature.
  • This case demonstrates the possibility of intussusception in this specific demographic.
  • Magnetic resonance imaging proved effective for diagnosis.

Implications:

  • This case expands the known clinical spectrum of PJS complications.
  • It underscores the importance of considering intussusception in pregnant women with PJS, even if rare.
  • Further awareness and diagnostic vigilance are warranted for this unique presentation.

Keywords:
Peutz–Jeghers Syndromeintussusceptioninvaginationmagnetic resonance imagingpregnancypregnant

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