Department of Pediatric Surgery, University Medical Center Mainz, Langenbeckstrasse 1, 55131 Mainz, Germany.
J Pediatr Surg. 2012 Aug;47(8):e1-3. doi: 10.1016/j.jpedsurg.2012.03.066.
Neonatal detection of Peutz-Jeghers syndrome is unusual with only 2 cases previously reported in the literature. We describe a neonate presenting with gastric outlet obstruction owing to 2 large Peutz-Jeghers polyps. The child's father and grandmother were known to have Peutz-Jeghers syndrome. On the ninth day of life, the infant underwent colonoscopy, abdominal exploration, and complete surgical resection of 3 polyps. The postoperative course was uneventful, and the patient was discharged home at the age of 3 weeks on full oral feeds. This is the first case report of inherited Peutz-Jeghers syndrome causing gastric outlet obstruction in a neonate.
新生儿期发现的 Peutz-Jeghers 综合征并不常见,文献中仅有 2 例报道。我们描述了一例因 2 个大的 Peutz-Jeghers 息肉导致胃出口梗阻的新生儿。患儿的父亲和祖母已知患有 Peutz-Jeghers 综合征。在出生后的第 9 天,婴儿接受了结肠镜检查、腹部探查和 3 个息肉的完全手术切除。术后过程顺利,患儿在 3 周龄时完全经口喂养出院。这是首例遗传性 Peutz-Jeghers 综合征导致新生儿胃出口梗阻的病例报告。