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A Case of Peutz-Jeghers Syndrome Complicated With Hirschsprung Disease
Saori Murakawa1, Masato Ogawa1, Aoi Taku2
1Department of Pediatrics, University of Occupational and Environmental Health, Fukuoka, JPN.
Insights
This case study details the first documented instance of Peutz-Jeghers syndrome (PJS) co-occurring with Hirschsprung disease (HD). Delayed Hirschsprung disease diagnosis highlights the need to consider multiple hereditary conditions in patients with complex gastrointestinal issues.
Area of Science:
- Gastroenterology
- Pediatric Surgery
- Medical Genetics
Background:
- Peutz-Jeghers syndrome (PJS) is a rare genetic disorder characterized by hamartomatous polyps and increased cancer risk.
- Hirschsprung disease (HD) is a congenital condition affecting the large intestine, causing severe constipation.
- Co-occurrence of PJS and HD is exceptionally rare, posing diagnostic challenges.
Abstract:
We report the first documented case of Peutz-Jeghers syndrome (PJS) complicated by Hirschsprung disease (HD). Despite the patient having intractable constipation since the neonatal period, the diagnosis of HD was significantly delayed due to the earlier diagnosis of PJS in infancy, which masked the presence of HD. This case highlights the importance of considering the possibility of an additional hereditary disease when a patient with a known hereditary gastrointestinal disease develops gastrointestinal symptoms that are atypical for that disease.
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