Department of Paediatric Surgery, Royal Alexandra Children's Hospital, Brighton, UK
Department of Paediatric Surgery, Royal Alexandra Children's Hospital, Brighton, UK.
BMJ Case Rep. 2024 Jul 25;17(7):e261464. doi: 10.1136/bcr-2024-261464.
We report the case of ileo-ileal intussusception secondary to a Peutz-Jeghers syndrome (PJS) hamartomatous polyp in a male infant. The patient presented with non-bilious vomiting and a single episode of passing blood in his stool. An upper gastrointestinal contrast study showed proximal bowel obstruction. At laparotomy, ileo-ileal intussusception was identified with a papillary mass acting as a lead point. The mass was resected, and a primary anastomosis was performed. The patient recovered well and was discharged on postoperative day 5. Histological assessment diagnosed a PJS hamartoma. The patient was well at 1 month follow-up. This case report describes a rare cause of intussusception in an infant that should be considered in the differential diagnosis. The diagnosis of PJS in infancy is uncommon and requires long-term follow-up.
我们报告了一例男性婴儿因 Peutz-Jeghers 综合征（PJS）错构瘤性息肉引起的回肠-回肠套叠。该患者表现为非胆汁性呕吐和单次便血。上消化道造影检查显示近端肠阻塞。剖腹探查时发现回肠-回肠套叠，伴有作为牵引点的乳头状肿块。肿块被切除，并进行了一期吻合。患者恢复良好，术后第 5 天出院。组织学评估诊断为 PJS 错构瘤。患者在 1 个月随访时情况良好。本病例报告描述了一种婴儿肠套叠的罕见病因，在鉴别诊断中应考虑这一病因。婴儿期 PJS 的诊断并不常见，需要长期随访。
