Intussusception secondary to Peutz-Jeghers syndrome: a case report and literature review of diagnostic and therapeutic advances
View abstract on PubMed
Summary
This summary is machine-generated.Peutz-Jeghers syndrome (PJS) is a rare genetic disorder causing polyps and pigmentation. Early diagnosis and management are crucial for preventing complications like intussusception and cancer.
Area Of Science
- Medical Genetics
- Gastroenterology
- Oncology
Background
- Peutz-Jeghers syndrome (PJS) is an autosomal dominant disorder.
- Characterized by hamartomatous polyposis and mucocutaneous pigmentation.
- PJS increases the risk of gastrointestinal and other malignancies.
Purpose Of The Study
- To report a case of small intestinal intussusception secondary to PJS.
- To review diagnostic criteria, genetics, clinical features, and management of PJS.
- To highlight advancements in PJS management.
Main Methods
- Case report of a 19-year-old male with PJS.
- Diagnostic imaging (CT scan) revealing the "double-ring sign".
- Laparoscopic exploration and polyp resection, followed by histopathological confirmation.
Main Results
- The patient was diagnosed with small intestinal intussusception due to PJS polyps.
- Histopathology confirmed PJS.
- Review covers diagnostic criteria, genetic basis, clinical manifestations, and management advances.
Conclusions
- Early diagnosis, genetic screening, and lifelong surveillance are vital for PJS patients.
- Advancements in genetic testing, endoscopy, and multidisciplinary care improve outcomes.
- Optimizing therapeutic approaches requires refined diagnostic criteria and endoscopic innovations.
Related Concept Videos
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Cervical Esophageal Perforations: Symptoms may include neck pain, difficulty swallowing, painful...

