title: Prograde and retrograde intussusception: A rarity in Peutz-Jeghers syndrome.
abstract: A 30-year-old woman presented with subacute intestinal obstruction. Clinical evaluation and radiological studies pointed toward an enteroenteric intussusception with intestinal polyps. Exploratory laparotomy revealed a retrograde intussusception mass acting as a lead point for a second prograde jejuno-jejunal intussusception. Resection and anastomosis of the involved segment was done. Histopathology revealed the presence of hamartomas. The patient was diagnosed with Peutz-Jeghers syndrome. The rarity of such a case is highlighted, and the diagnostic challenge it poses is discussed.
authors.affiliation: Department of Surgery, Lady Hardinge Medical College, University of Delhi, New Delhi, India. nikhil_talwar@rediffmail.com
authors.forename: Nikhil
authors.initials: N
authors.lastname: Talwar
authors.forename: Shalabh
authors.initials: S
authors.lastname: Mohan
authors.forename: Manoj
authors.initials: M
authors.lastname: Andley
authors.forename: Bina
authors.initials: B
authors.lastname: Ravi
authors.forename: Ajay
authors.initials: A
authors.lastname: Kumar
authors.forename: Manju
authors.initials: M
authors.lastname: Govil
authors.forename: K S
authors.initials: KS
authors.lastname: Charak
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007443:Intussusception / Q000209:etiology* / Q000601:surgery; D007579:Jejunal Diseases / Q000209:etiology* / Q000601:surgery; D010580:Peutz-Jeghers Syndrome / Q000150:complications*