Intestinal intussusception and occlusion caused by small bowel polyps in the Peutz-Jeghers syndrome. Management by combined intraoperative enteroscopy and resection through minimal enterostomy: case report

The Peutz-Jeghers syndrome is a hereditary disease that requires frequent endoscopic and surgical intervention, leading to secondary complications such as short bowel syndrome. CASE REPORT: This paper reports on a 15-year-old male patient with a family history of the disease, who underwent surgery for treatment of an intestinal occlusion due to a small intestine intussusception. DISCUSSION: An intra-operative fiberscopic procedure was included for the detection and treatment of numerous polyps distributed along the small intestine. Enterotomy was performed to treat only the larger polyps, therefore limiting the intestinal resection to smaller segments. The postoperative follow-up was uneventful. CONCLUSION: We point out the importance of conservative treatment for patients with this syndrome, especially those who will undergo repeated surgical interventions because of clinical manifestation while they are still young.

Bibliographic Details

Main Authors:	Gama-Rodrigues,Joaquim J., Silva,José Hyppolito da, Aisaka,Adilson A., Jureidini,Ricardo, Falci Júnior,Renato, Maluf Filho,Fauze, Chong,A. Kim, Tsai,André Wan Wen, Bresciani,Cláudio
Format:	Digital revista
Language:	English
Published:	Faculdade de Medicina / Universidade de São Paulo - FM/USP 2000
Online Access:	http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0041-87812000000600005
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