Gastroduodenal intussusception due to Peutz-Jeghers syndrome. A case report.
An 18-year-old Chinese male was admitted to our hospital with recurrent abdominal pain, abdominal distension and intermittent non-bilious vomiting of about 2 months standing. A mildly tender mass measuring about 6 x 7 cm was present in the right upper quadrant area, and an abdominal computed tomography scan with enhancement showed a clearly encapsulated mass occupying the right side of the upper intra-abdominal area. Endoscopy revealed two huge cauliflower-like polyps and one small polyp in the stomach, and the biopsy specimens showed hyperplastic polyps. Moreover, multiple pigmentation of the buccal mucosa was also noted. The intra-abdominal mass was found to be a gastroduodenal intussusception following laparotomy. Gastroduodenal intussusception occurring secondarily to Peutz-Jegher syndrome, is a rarely documented condition. Only one case has been reported in Japan during the previous years. We report on another case, and review the literature.
Wu
Y K
YK
Department of Surgery, Show-Chwan Memorial Hospital, Changhua, Taiwan, R.O.C.
Tsai
C H
CH
Yang
J C
JC
Hwang
M H
MH
D000293:Adolescent; D004378:Duodenal Diseases / Q000209:etiology*; D006801:Humans; D007443:Intussusception / Q000209:etiology*; D008297:Male; D010580:Peutz-Jeghers Syndrome / Q000150:complications*; D013272:Stomach Diseases / Q000209:etiology*