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Atypical Peutz-Jeghers Syndrome Presenting With a Huge Jejunojejunal Intussusception in a Young Male: A Case Report

Intussusception is considered one of the rare causes of intestinal obstruction in adults compared to pediatric patients. It usually presents with non-specific clinical manifestations ranging from mild recurrent abdominal pain to severe acute abdominal pain. The non-specificity of its symptoms makes...

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Autores principales: Hashem, Anas, Ismayl, Ahmad, Mahmoud, Amir A, Khalouf, Amani, Mohammed, Marwan R
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10098220/
https://www.ncbi.nlm.nih.gov/pubmed/37065405
http://dx.doi.org/10.7759/cureus.36107
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author Hashem, Anas
Ismayl, Ahmad
Mahmoud, Amir A
Khalouf, Amani
Mohammed, Marwan R
author_facet Hashem, Anas
Ismayl, Ahmad
Mahmoud, Amir A
Khalouf, Amani
Mohammed, Marwan R
author_sort Hashem, Anas
collection PubMed
description Intussusception is considered one of the rare causes of intestinal obstruction in adults compared to pediatric patients. It usually presents with non-specific clinical manifestations ranging from mild recurrent abdominal pain to severe acute abdominal pain. The non-specificity of its symptoms makes it difficult to diagnose preoperatively. As 90% of adult intussusceptions are due to a pathological lead point, this prompts the underlying medical condition to be identified. We herein report a rare case of a 21-year-old male with atypical clinical features of Peutz-Jegher syndrome (PJS), presenting with jejunojejunal intussusception as a result of a hamartomatous intestinal polyp. A preliminary diagnosis of intussusception was made after an abdominal computed tomography (CT) scan and was confirmed intraoperatively. Postoperatively, the patient’s condition improved steadily, and he was discharged with a referral to the gastroenterologist for further assessment.
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spelling pubmed-100982202023-04-14 Atypical Peutz-Jeghers Syndrome Presenting With a Huge Jejunojejunal Intussusception in a Young Male: A Case Report Hashem, Anas Ismayl, Ahmad Mahmoud, Amir A Khalouf, Amani Mohammed, Marwan R Cureus Gastroenterology Intussusception is considered one of the rare causes of intestinal obstruction in adults compared to pediatric patients. It usually presents with non-specific clinical manifestations ranging from mild recurrent abdominal pain to severe acute abdominal pain. The non-specificity of its symptoms makes it difficult to diagnose preoperatively. As 90% of adult intussusceptions are due to a pathological lead point, this prompts the underlying medical condition to be identified. We herein report a rare case of a 21-year-old male with atypical clinical features of Peutz-Jegher syndrome (PJS), presenting with jejunojejunal intussusception as a result of a hamartomatous intestinal polyp. A preliminary diagnosis of intussusception was made after an abdominal computed tomography (CT) scan and was confirmed intraoperatively. Postoperatively, the patient’s condition improved steadily, and he was discharged with a referral to the gastroenterologist for further assessment. Cureus 2023-03-13 /pmc/articles/PMC10098220/ /pubmed/37065405 http://dx.doi.org/10.7759/cureus.36107 Text en Copyright © 2023, Hashem et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Gastroenterology
Hashem, Anas
Ismayl, Ahmad
Mahmoud, Amir A
Khalouf, Amani
Mohammed, Marwan R
Atypical Peutz-Jeghers Syndrome Presenting With a Huge Jejunojejunal Intussusception in a Young Male: A Case Report
title Atypical Peutz-Jeghers Syndrome Presenting With a Huge Jejunojejunal Intussusception in a Young Male: A Case Report
title_full Atypical Peutz-Jeghers Syndrome Presenting With a Huge Jejunojejunal Intussusception in a Young Male: A Case Report
title_fullStr Atypical Peutz-Jeghers Syndrome Presenting With a Huge Jejunojejunal Intussusception in a Young Male: A Case Report
title_full_unstemmed Atypical Peutz-Jeghers Syndrome Presenting With a Huge Jejunojejunal Intussusception in a Young Male: A Case Report
title_short Atypical Peutz-Jeghers Syndrome Presenting With a Huge Jejunojejunal Intussusception in a Young Male: A Case Report
title_sort atypical peutz-jeghers syndrome presenting with a huge jejunojejunal intussusception in a young male: a case report
topic Gastroenterology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10098220/
https://www.ncbi.nlm.nih.gov/pubmed/37065405
http://dx.doi.org/10.7759/cureus.36107
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