Recurrent Intussusception Secondary to Multiple Peutz-jegher polyps: An Unusual Case with Review of Literature

Submitted by sysadmin1 on Tue, 08/29/2017 - 10:44
Oncology, Gastroenterology and Hepatology Reports,2018,7,1,43-45.
Published:September 2017
Type:Case Report

Recurrent Intussusception Secondary to Multiple Peutz-jegher polyps: An Unusual Case with Review of Literature

Chisel Bhatia, Satish Dalal, Mahavir Singh, Jitendra S Malwal

Department of Surgery, Pt. B.D. Sharma PGIMS, Rohtak, Haryana, INDIA

Abstract:

Peutz-Jegher polyps are hamartomas of the small bowel which occur as part of the Peutz- Jegher syndrome, a rare autosomal dominant condition characterized by gastrointestinal polyps and mucocutaneous melanotic pigmentation. Here we report the case of a young male suffering from this syndrome who presented with acute intestinal obstruction due to intussception. Exploratory laparotomy was done which revealed jejuno-jejunal and jejunoileal intussusceptions for which resection and anastomosis was done. There were multiple intraluminal polyps in the jejunum which on histopathological examination, showed features of Peutz-Jegher Polyp. Patient behaved well in the post-operative period and is still on follow up with us.

Resected segment of jejunum showing multiple polyps