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Ileo-ileal intussusception secondary to a Peutz-Jeghers hamartomatous polyp in an infant

Neville, Jonathan J; Ellul, Sarah; Healy, Costa; (2024) Ileo-ileal intussusception secondary to a Peutz-Jeghers hamartomatous polyp in an infant. BMJ Case Reports , 17 (7) , Article e261464. 10.1136/bcr-2024-261464. Green open access

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Abstract

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.

Type: Article
Title: Ileo-ileal intussusception secondary to a Peutz-Jeghers hamartomatous polyp in an infant
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1136/bcr-2024-261464
Publisher version: http://dx.doi.org/10.1136/bcr-2024-261464
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Infant health, Paediatric Surgery, Pediatrics, Small intestine
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Developmental Biology and Cancer Dept
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10200321
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