Prograde and retrograde intussusception: A rarity in Peutz-Jeghers syndrome.
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.
Talwar
Nikhil
N
Department of Surgery, Lady Hardinge Medical College, University of Delhi, New Delhi, India. nikhil_talwar@rediffmail.com
Mohan
Shalabh
S
Andley
Manoj
M
Ravi
Bina
B
Kumar
Ajay
A
Govil
Manju
M
Charak
K S
KS
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*