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[多发性胃肠道家族性息肉病(佩-杰二氏综合征)。1例临床病例报告]

[Multiple gastrointestinal familial poliposis (Peutz-Jerghers syndrome). Report of a clinical case].

作者信息

Laviada A F A, Reyes Pérez A, Palomo Cetina A

出版信息

Rev Gastroenterol Mex. 1975 Mar-Apr;40(2):76-83.

PMID:1242087
Abstract

The authors review a single case history of intestinal polyposis (Peutz-Jeghers syndrome) of a patient followed by them for eleven years. The paper includes a review of the pertinent literature. The present case was diagnosed as a result of the clinical observation of pigmented spots in the oral mucosa and crises of spasmodic abdominal pain accompanied by bowel movements containing mucus and blood. In other members of the family only a younger sister had slightly pigmented spots in the oral mucosa. None had radiologic findings suggestive of the syndrome of Peutz-Jeghers. Recently the patient under study suffered an intestinal intussuception which led to the surgical resection of a segment of small intestine and permitted pathologic confirmation of the diagnosis. Surgical resection of nodules in both breasts resulted in diagnoses of sclerosing adenosis in the left and an epidermoid cyst in the right.

摘要

作者回顾了他们随访11年的一名肠道息肉病(佩-吉综合征)患者的单一病例史。本文还包括相关文献综述。该病例是通过临床观察口腔黏膜色素沉着斑以及伴有黏液和血便的痉挛性腹痛发作而确诊的。在该家族的其他成员中,只有一个妹妹口腔黏膜有轻微色素沉着斑。没有人有提示佩-吉综合征的放射学表现。最近,该研究中的患者发生了肠套叠,这导致了一段小肠的手术切除,并得以通过病理证实诊断。双侧乳房结节的手术切除结果显示,左侧为硬化性腺病,右侧为表皮样囊肿。

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