Peutz–Jegher‘s Syndrome Presenting as Multiple Intussusceptions: A Case Report.

DR.THRILOK C BINGI; DR.V.PAVAN TEJA; DR.RAMULU.B; DR.B.S.V.MANJULA; DR.RUSHENDRA VEMULA

Volume : V, Issue : III, March - 2015

Peutz–Jegher‘s Syndrome Presenting as Multiple Intussusceptions: A Case Report.

Dr. Thrilok C Bingi, Dr. V. Pavan Teja, Dr. Ramulu. B, Dr. B. S. V. Manjula, Dr. Rushendra Vemula

Abstract :

The Peutz–Jeghers syndrome is an autosomal dominant disorder characterized by hamartomatous polyposis of the gastrointestinal tract, melanin pigmentation of the skin and mucous memanes, and an increased risk for cancer. Polyps are often a cause of invagination and ileus in affected patients. A long–term follow–up is required to prevent invagination and ileus in children and cancer in adults. Here we present a a case of a previously healthy 25–year–old man with complaints of intermittent pain abdomen, vomiting and loose stools which are suggestive of sub acute intestinal obstruction. Oral and buccal pigmentations gave clues to think about peutz–jegher’s syndrome. Multiple intussusceptions were noted on CT and MR enterograohy.The diagnosis was further confirmed by enteroscopy followed by colonoscopy and biopsy.