Small intestinal hamartomatous polyp due to Peutz–Jeghers syndrome in middle childhood

Small‐bowel surveillance is recommended from the age of 8 years in asymptomatic individuals with Peutz–Jeghers syndrome. Because intussusception and risk of strangulated ileus were noted in an 11‐year‐old patient, small‐bowel surveillance should be reliably performed from the age of 8 years to avoid urgent surgery.