Peutz Jeghers syndrome with small bowel obstruction

Discussion:

Peutz-Jeghers syndrome is one of the uncommon polyposis syndromes. It predominantly (>95%), but not exclusively, involves the small intestine.

Typically the gastrointestinal tract contains multiple hamartomatous polyps, most commonly involving the small intestine (predominantly the ileum). However, it can also involve the colon and stomach.

Patients are are at risk of:

  • small bowel obstruction (as in this case)
  • Intussusception (a polyp acting as a lead point)
  • increased risk of malignancy (both gastrointestinal and extra-gastrointestinal)
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