A Case of Multiple Polyps Causing Intussusception in an Adult Patient With Peutz-Jeghers Syndrome

Ebtehal S Alharbi1, Jawaher S Alrumayh1, Raneem H Alzaghran1

  • 1Department of Surgical Oncology, College of Medicine, Qassim University, Qassim, SAU.

Cureus
|November 23, 2022
PubMed

Insights

Adult intussusception, though rare, demands urgent care. This case highlights Peutz-Jeghers syndrome as a cause of severe small bowel obstruction in a young adult, necessitating surgical intervention.

Area of Science:

  • Gastroenterology
  • Surgical Case Reports

Background:

  • Peutz-Jeghers syndrome is a rare autosomal dominant disorder characterized by gastrointestinal polyps.
  • Intussusception is uncommon in adults but can lead to severe complications and emergency surgical intervention.

Observation:

  • A 26-year-old male presented with acute crampy abdominal pain, vomiting, and constipation.
  • Imaging revealed small bowel intussusception, confirmed intraoperatively.
  • Necrotic bowel segments required resection.

Findings:

  • The patient recovered well post-surgery with minimal complications.
  • Discharged on postoperative day seven with an uneventful one-month follow-up.

Implications:

  • This case underscores the importance of considering intussusception in adult patients with non-specific abdominal pain and signs of bowel obstruction.
  • Emergency physicians should maintain a high index of suspicion for intussusception, especially in the presence of underlying conditions like Peutz-Jeghers syndrome.

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