Pitiakoudis M, Mimidis K, Tsaroucha A, Kartalis G, Simopoulos K
2nd Department of Surgery, Medical School, Democritus University of Thrace, Alexandroupolis, Greece.
Ann Ital Chir. 2004 Jan-Feb;75(1):75-7.
The Peutz-Jeghers syndrome is an autosomal dominant disorder characterized by hamartomatous polyposis of the gastrointestinal tract, melanin pigmentation of the skin and mucous membranes, and an increased risk for cancer. The incidence of surgical complications in these patients is relatively rare, and correlates with the size and location of the polyps. Herein we report the case of a 27-year-old woman presented with episodes of abdominal pain, abdominal distention and intermittent vomiting. Moreover, multiple pigmentation of the mouth was also noted. A preoperative diagnosis of a double jejunal intussusception and jejunal occlusion was based on the findings of small bowel enema and computed tomography. The diagnosis was confirmed at laparotomy.
黑斑息肉综合征是一种常染色体显性疾病,其特征为胃肠道错构瘤性息肉病、皮肤和黏膜黑色素沉着以及癌症风险增加。这些患者手术并发症的发生率相对较低,且与息肉的大小和位置相关。在此,我们报告一例27岁女性患者,该患者出现腹痛、腹胀及间歇性呕吐症状。此外,还发现其口腔有多处色素沉着。根据小肠灌肠和计算机断层扫描结果,术前诊断为空肠套叠和空肠梗阻。剖腹手术证实了该诊断。