Sreemantula Harsha S, Joseph Crystal A, Jamal Faraz, Agrawal Shubham, Thirumaran Rajesh
Internal Medicine, Mercy Catholic Medical Center, Darby, USA.
Hematology/Oncology, Drexel University College of Medicine, Darby, USA.
Cureus. 2022 Apr 3;14(4):e23792. doi: 10.7759/cureus.23792. eCollection 2022 Apr.
A 20-year-old female patient with a family history significant for Peutz-Jeghers syndrome presented to the hospital multiple times with complaints of abdominal pain. On the initial visit to the hospital, the patient underwent small bowel resection for small bowel obstruction secondary to intussusception, following which she visited the hospital again one year later for similar complaints and underwent reduction of multiple points of intussusception of the small bowel without any resection of the same. Eventually, the patient underwent resection of the small bowel for the second time, along with tumor resections. The importance of follow-up in patients with Peutz-Jeghers is particularly essential, in part, because it is vital to monitor the tumors, their size, and number to prevent surgical intestinal complications, anemia, and also to eventually monitor for carcinomatous changes.
一名20岁女性患者，有黑斑息肉综合征家族史，多次因腹痛就诊。首次就诊时，患者因肠套叠继发小肠梗阻接受了小肠切除术，一年后因类似症状再次就诊，接受了小肠多处肠套叠复位术，未进行切除。最终，患者再次接受小肠切除术及肿瘤切除术。对黑斑息肉综合征患者进行随访尤为重要，部分原因在于监测肿瘤、其大小和数量对于预防手术肠道并发症、贫血以及最终监测癌变变化至关重要。
