Chiew J, Sambanthan ST, Mahendran HA. Double intussusception in a teenage child with Peutz-Jeghers syndrome: A case report. World J Clin Cases 2021; 9(23): 6804-6809 [PMID: 34447828 DOI: 10.12998/wjcc.v9.i23.6804]
Corresponding Author of This Article
Junloong Chiew, MBBS, Doctor, Department of Surgery, Hospital Sultanah Aminah, Jalan Persiaran Abu Bakar Sultan, Johor Bahru 80100, Malaysia. chiewjunloong@gmail.com
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Aug 16, 2021; 9(23): 6804-6809 Published online Aug 16, 2021. doi: 10.12998/wjcc.v9.i23.6804
Double intussusception in a teenage child with Peutz-Jeghers syndrome: A case report
Junloong Chiew, Sekkapan Thannimalai Sambanthan, Hans Alexander Mahendran
Junloong Chiew, Sekkapan Thannimalai Sambanthan, Hans Alexander Mahendran, Department of Surgery, Hospital Sultanah Aminah, Johor Bahru 80100, Malaysia
Author contributions: Chiew J was the attending doctor of the patient, collected the patient's clinic information, searched relevant works of literature, and wrote the manuscript; Sambanthan ST and Mahendran HA carried out critical revision and correction of the manuscript; all authors read and approved the final manuscript for submission and publication.
Informed consent statement: Written consent was obtained from the patient’s mother.
Conflict-of-interest statement: The authors declare that they have no competing interests.
CARE Checklist (2016) statement: The authors have read the CARE Checklist, and the manuscript was prepared and revised according to the CARE Checklist.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Junloong Chiew, MBBS, Doctor, Department of Surgery, Hospital Sultanah Aminah, Jalan Persiaran Abu Bakar Sultan, Johor Bahru 80100, Malaysia. chiewjunloong@gmail.com
Received: January 15, 2021 Peer-review started: January 15, 2021 First decision: February 28, 2021 Revised: March 14, 2021 Accepted: May 15, 2021 Article in press: May 15, 2021 Published online: August 16, 2021
Abstract
BACKGROUND
Peutz-Jeghers syndrome (PJS) is a genetic disorder characterized by the development of gastrointestinal hamartomatous polyps and mucocutaneous melanin pigmentation. Patients with PJS are at risk of complications such as intussusception. Intussusception is a condition where one segment of the intestine invaginates into another, causing intestinal obstruction. We report a PJS patient who was diagnosed with double intussusception in a single setting.
CASE SUMMARY
A 16-year-old teenage male PJS patient presented with a history of colicky abdominal pain, vomiting, blood in stools, loss of appetite, and weight loss. On abdominal examination, a vague mass was palpable over the right upper quadrant. Contrast-enhanced computed tomography (CT) of the abdomen was performed and an intussusception involving the jejunum and rectosigmoid junction was observed. The patient subsequently underwent a laparotomy and intussusception involving the jejunum and another over the ileum was noted intra-operatively. Bowel resection and an endoscopic polypectomy were performed, followed by a primary anastomosis. The patient was discharged well and reviewed again one month later, and was noted to be well.
CONCLUSION
PJS patients have a high risk of intussusception and can be diagnosed accurately by endoscopic surveillance or radiologically with abdominal CT or magnetic resonance imaging. The mainstay of treatment is surgical intervention followed by endoscopic surveillance with periodic polypectomy.
Core Tip: Peutz-Jeghers syndrome (PJS) is a genetic disorder characterized by the development of gastrointestinal hamartomatous polyps and mucocutaneous melanin pigmentation. Patients with PJS are at risk of complications such as intussusception. Intussusception is a condition where one segment of the intestine invaginates into another, causing intestinal obstruction. We report a PJS patient who was diagnosed with double intussusception in a single setting.
