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Ege Journal of Medicine
2005, Cilt 44, Sayı 2, Sayfa(lar) 131-133
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PEUTZ-JEGHERS SYNDROME AND JEJUNAL INTUSSUSEPTION : A CASE REPORT
Özer MAKAY, M. Gökhan ÜNSAL, Erhan AKGÜN, Halit OSMANOĞLU
Ege Üniversitesi Tıp Fakültesi Genel Cerrahi Anabilim Dalı, Bornova, İzmir
Keywords: peutz-Jeghers syndrome, intussusception, polypectomy

Peutz-Jeghers syndrome is an autosomal dominant inherited disorder characterized by gastrointestinal hamartomatous polyps in association with mucocutaneous melanocytic pigmentation. Although this syndrome is rare, patient follow-up care should be done a life long since the increased risk for intussusception secondary to bowel obstruction and malignancy in the elderly. This case report presents a 33-year-old male with Peutz-Jeghers syndrome diagnosed at the age of 18. The patient admitted with symptoms like abdominal pain, nausea and vomitting, especially increasing postprandial. Enteroclysis study revealed 2 polyps located in the jejenum, each 4 cm in diameter, and a jejuno-jejunal intussusception, originating from these polips. A laparomy was carried out and the intussusception was restored manually. Enterotomy was performed to treat polyps by polypectomy.

It is suggested that patients with Peutz-Jeghers syndrome should also be monitored for intestinal intussusception and bowel ischemia. Early diagnosis is fundamental.


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