Open AccessRecurrent intestinal obstruction in a patient of Peutz–Jeghers syndrome
Author(s) -
Sundeep Kumar,
Preeti Chawla Arora,
Pabitra Goswami
Publication year - 2019
Publication title -
journal of cancer research and therapeutics/journal of cancer research and therapeutics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.475
H-Index - 39
eISSN - 0973-1482
pISSN - 1998-4138
DOI - 10.4103/jcrt.jcrt_866_17
Subject(s) - medicine , peutz–jeghers syndrome , melena , mucocutaneous zone , laparotomy , intussusception (medical disorder) , histopathology , abdominal pain , hamartoma , gastroenterology , presentation (obstetrics) , surgery , pathology , disease
Peutz-Jeghers syndrome is a rare hamartomatous polyposis syndrome characterized by the presence of intestinal polyps and mucocutaneous melanotic pigmentations. It is associated with various gastrointestinal and extraintestinal malignancies. This case report deals with the clinical presentation, investigations, operative findings, and outcome of a patient harboring this disease. A 45-year-old female presented to us with intermittent colicky abdominal pain for the last 6 months and a single episode of melena 1 month back. She had a previous history of resection of a jejunal growth 22 years back. The histopathology report was suggestive of papillary adenocarcinoma. On examination, hyperpigmented macules were seen on her lips and buccal mucosa. Laparotomy revealed multiple polyps mainly in the proximal small intestine and a focus of ileoileal intussusception. A limited resection was done.