Peutz-Jeghers Syndrome Associated with Intestinal Intussusception: A Case Report
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概要
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A 19-year-old female visited our hospital, complaining of abdominal pain. This patient had suffered from intermittent abdominal pain for two years, and the cause had not been investigated during the progress of the symptom. The peritoneal irritation sign was seen on her abdomen. A CT scan of the abdomen revealed intestinal intussusception and multiple pedunculated tumors in the small intestine. An emergency operation was performed. The intussusceptum, 15cm in diameter, was resected and the intestinal lumen was explored endoscopically during the operation. Five tumors were resected. The pathological diagnosis of the tumors was polyps of the Peutz-Jeghers type. After the operation one gastric polyp and three colon polyps were resected endoscopically. The patient was diagnosed as having Peutz-Jeghers syndrome with abnormal mucocutaneal pigmentation, although the hereditary factors were unclear.
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