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Recurrent intestinal obstruction in a patient of Peutz–Jeghers syndrome

1 Department of General Surgery, R. G. Kar Medical College and Hospital, Kolkata, West Bengal, India
2 Department of Obstetrics and Gynaecology, R. G. Kar Medical College and Hospital, Kolkata, West Bengal, India

Correspondence Address:
Sundeep Kumar,
Flat No. 9, Block- C2, Krishnabaag Apartment, Nagwa, Lanka, Varanasi - 221 005, Uttar Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jcrt.JCRT_866_17

Peutz–Jeghers syndrome is a rare hamartomatous polyposis syndrome characterized by the presence of intestinal polyps and mucocutaneous melanotic pigmentations. It is associated with various gastrointestinal and extraintestinal malignancies. This case report deals with the clinical presentation, investigations, operative findings, and outcome of a patient harboring this disease. A 45-year-old female presented to us with intermittent colicky abdominal pain for the last 6 months and a single episode of melena 1 month back. She had a previous history of resection of a jejunal growth 22 years back. The histopathology report was suggestive of papillary adenocarcinoma. On examination, hyperpigmented macules were seen on her lips and buccal mucosa. Laparotomy revealed multiple polyps mainly in the proximal small intestine and a focus of ileoileal intussusception. A limited resection was done.

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