Atypical Peutz-Jeghers Syndrome Presenting With a Huge Jejunojejunal Intussusception in a Young Male: A Case Report

被引:1
作者
Hashem, Anas [1 ]
Ismayl, Ahmad [2 ]
Mahmoud, Amir A. [1 ]
Khalouf, Amani [1 ]
Mohammed, Marwan R. [3 ]
机构
[1] Rochester Reg Hlth, Internal Med, Rochester, NY 14617 USA
[2] Doncaster Royal Infirm, Internal Med, Doncaster, England
[3] Al Qassimi Hosp, Gen Surg Dept, Sharjah, U Arab Emirates
关键词
Categories; Gastroenterology; Surgery; Oncology case report; intestinal hamartomatous polyps; jejunal neoplasms; peutz-jeghers syndrome; intestinal obstruction; intussusception; ADULT INTUSSUSCEPTION; INTESTINAL INTUSSUSCEPTION;
D O I
10.7759/cureus.36107
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Intussusception is considered one of the rare causes of intestinal obstruction in adults compared to pediatric patients. It usually presents with non-specific clinical manifestations ranging from mild recurrent abdominal pain to severe acute abdominal pain. The non-specificity of its symptoms makes it difficult to diagnose preoperatively. As 90% of adult intussusceptions are due to a pathological lead point, this prompts the underlying medical condition to be identified. We herein report a rare case of a 21-year-old male with atypical clinical features of Peutz-Jegher syndrome (PJS), presenting with jejunojejunal intussusception as a result of a hamartomatous intestinal polyp. A preliminary diagnosis of intussusception was made after an abdominal computed tomography (CT) scan and was confirmed intraoperatively. Postoperatively, the patient's condition improved steadily, and he was discharged with a referral to the gastroenterologist for further assessment.
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相关论文
共 15 条
[1]   ADULT INTUSSUSCEPTION - CASE-REPORT OF RECURRENT INTUSSUSCEPTION AND REVIEW OF LITERATURE [J].
FELIX, EL ;
COHEN, MH ;
BERNSTEIN, AD ;
SCHWARTZ, JH .
AMERICAN JOURNAL OF SURGERY, 1976, 131 (06) :758-761
[2]   Adult intussusception - a CT diagnosis [J].
Gayer, G ;
Zissin, R ;
Apter, S ;
Papa, M ;
Hertz, M .
BRITISH JOURNAL OF RADIOLOGY, 2002, 75 (890) :185-190
[3]   Intussusception in adults: Institutional review [J].
Gupta, Rakesh Kr. ;
Agrawal, Chandra Shekhar ;
Yadav, Rohit ;
Bajracharya, Amir ;
Sah, Panna Lal .
INTERNATIONAL JOURNAL OF SURGERY, 2011, 9 (01) :91-95
[4]   GENERALIZED INTESTINAL POLYPOSIS AND MELANIN SPOTS OF THE ORAL MUCOSA, LIPS AND DIGITS - A SYNDROME OF DIAGNOSTIC SIGNIFICANCE [J].
JEGHERS, H ;
MCKUSICK, VA ;
KATZ, KH .
NEW ENGLAND JOURNAL OF MEDICINE, 1949, 241 (25) :993-1005
[5]   Peutz-Jeghers syndrome: Diagnostic and therapeutic approach [J].
Kopacova, Marcela ;
Tacheci, Iija ;
Rejchrt, Stanislav ;
Bures, Jan .
WORLD JOURNAL OF GASTROENTEROLOGY, 2009, 15 (43) :5397-5408
[6]   Intestinal Intussusception: Etiology, Diagnosis, and Treatment [J].
Marsicovetere, Priscilla ;
Ivatury, S. Joga ;
White, Brent ;
Holubar, Stefan D. .
CLINICS IN COLON AND RECTAL SURGERY, 2017, 30 (01) :30-39
[7]   Intestinal intussusception in Peutz Jeghers syndrome: A case report [J].
Nasri, Salsabil ;
Kellil, Tarak ;
Chaouech, Mohamed Ali ;
Zouari, Khadija .
ANNALS OF MEDICINE AND SURGERY, 2020, 54 :106-108
[8]  
Peutz J., 1921, NED TIJDSCHR GENEES, V10, P134
[9]   Can CT Features Be Used to Diagnose Surgical Adult Bowel Intussusceptions? [J].
Sundaram, Baskaran ;
Miller, Carl N. ;
Cohan, Richard H. ;
Schipper, Matthew J. ;
Francis, Isaac R. .
AMERICAN JOURNAL OF ROENTGENOLOGY, 2009, 193 (02) :471-478
[10]   Peutz-Jeghers syndrome: a critical look at colonic Peutz-Jeghers polyps [J].
Tse, Julie Y. ;
Wu, Shulin ;
Shinagare, Shweta A. ;
Lauwers, Gregory Y. ;
Yilmaz, Omer ;
Wu, Chin-Lee ;
Deshpande, Vikram .
MODERN PATHOLOGY, 2013, 26 (09) :1235-1240