Recurrent small intestine intussusception in a patient with Peutz-Jeghers syndrome.
Peutz-Jeghers syndrome is a rare hereditary autosomal dominant disease caused by a mutation of the tumor suppressor gene serine/threonine kinase 11 located in chromosome 19p13.3. It is characterized by the presence of extensive mucocutaneous pigmentation, especially of the lips and the occurrence of hamartomatous polyps throughout the gastrointestinal tract. Gastrointestinal hamartomas occur predominantly in the small intestine and can become symptomatic leading usually to intestinal obstruction and abdominal pain.We present a case of recurrent intestinal obstruction caused by small bowel intussusception treated by reduction, enterotomy and polypectomy and followed by intraoperative enteroscopy and endoscopic polypectomy.
First Surgical Department, General Regional Hospital George Papanikolaou, Thessaloniki, Greece. telonakos@hotmail.com
Orestis
O
Ioannidis
Styliani
S
Papaemmanouil
George
G
Paraskevas
Anastasios
A
Kotronis
Stavros
S
Chatzopoulos
Athina
A
Konstantara
Nikolaos
N
Papadimitriou
Apostolos
A
Makrantonakis
Emmanouil
E
Kakoutis
D013505:Digestive System Surgical Procedures; D006801:Humans; D007410:Intestinal Diseases / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D007415:Intestinal Obstruction / Q000209:etiology; D007421:Intestine, Small / Q000473:pathology / Q000601:surgery; D007443:Intussusception / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D007813:Laparotomy; D008297:Male; D010580:Peutz-Jeghers Syndrome / Q000150:complications* / Q000473:pathology / Q000601:surgery; D012008:Recurrence; D055815:Young Adult