title: Laparoscopic treatment of intestinal intussusception in the Peutz-Jeghers syndrome: case report and review of the literature.
abstract: The hamartomatous polyps of Peutz-Jeghers Syndrome (PJS) can cause repeated episodes of rectal bleeding and intestinal subocclusion. Laparoscopic treatment of intussusception is rarely reported and must be considered for this clinical condition. We described a 35-year-old male with PJS who presented with rectal bleeding and abdominal pain. One duodenal polyp and two others in the jejunum, which caused intussusception, were visualized on preoperative investigation. Polyps were identified by laparoscopy and removed extracorporeally through enterotomies. All lesions were hamartomas. The patient was discharged on the third postoperative day and has been asymptomatic for more than 2 years. Laparoscopy allows an adequate access to explore and treat small bowel polyps and avoid the classic laparotomy.
authors.affiliation: Hospital Sírio Libanês, São Paulo, Brazil.
authors.forename: Esdras Camargo Andrade
authors.initials: EC
authors.lastname: Zanoni
authors.forename: Marcelo
authors.initials: M
authors.lastname: Averbach
authors.forename: José Luiz Alvim
authors.initials: JL
authors.lastname: Borges
authors.forename: Paulo Alberto Falco Pires
authors.initials: PA
authors.lastname: Corrêa
authors.forename: Raul
authors.initials: R
authors.lastname: Cutait
mesh_terms: D000328:Adult; D004378:Duodenal Diseases / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007443:Intussusception / Q000209:etiology / Q000601:surgery*; D007579:Jejunal Diseases / Q000209:etiology / Q000601:surgery*; D010535:Laparoscopy; D008297:Male; D010580:Peutz-Jeghers Syndrome / Q000150:complications*