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A rare case of synchronous colocolic intussusception in association with Peutz-Jeghers syndrome

Om Biju Panta1, Santosh Maharjan1, Sujan Manandhar2

  • 1Department of Radiology and Imaging, Tribhuwan University Teaching Hospital, Kathmandu, Nepal.

BJR Case Reports
|October 27, 2018
PubMed

Insights

Adult intussusception, often caused by Peutz-Jeghers syndrome polyps, is rare. This case highlights a unique instance of synchronous colocolic intussusceptions alongside a malignant jejunal mass in a Peutz-Jeghers syndrome patient.

Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Genetics

Background:

  • Adult intussusception is uncommon and typically involves a leading point, frequently polyps associated with polyposis syndromes.
  • Peutz-Jeghers syndrome (PJS) is characterized by hamartomatous polyps and mucocutaneous pigmentation, increasing the risk of gastrointestinal malignancies, particularly in the small bowel.

Observation:

  • Patients with PJS presenting with acute abdominal symptoms are usually diagnosed with enteroenteric intussusceptions.
  • Colocolic intussusceptions are infrequent in PJS patients.
  • This report details a rare case of synchronous colocolic intussusceptions co-occurring with a malignant jejunal mass in an individual with PJS.

Findings:

  • The study presents a unique case of synchronous colocolic intussusceptions in a patient diagnosed with Peutz-Jeghers syndrome.
  • A malignant jejunal mass was identified as the likely lead point for one of the intussusceptions.
  • This presentation is unusual given the rarity of colocolic intussusceptions in PJS.

Implications:

  • This case expands the understanding of intussusception presentations in Peutz-Jeghers syndrome.
  • It underscores the importance of considering malignancy even with rare intussusception types in PJS patients.
  • Further research may elucidate the specific mechanisms linking PJS, malignancy, and synchronous colocolic intussusceptions.

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