GASTRODUODENAL INTUSSUSCEPTION DUE TO PEUTZ-JEGHERS SYNDROME - A CASE-REPORT

An 18-year-old Chinese male was admitted to our hospital with recurren t abdominal pain, abdominal distension and intermittent non-bilious vo miting of about 2 months standing. A mildly tender mass measuring abou t 6 x 7 cm was present in the right upper quadrant area, and an abdomi nal computed tomography scan with enhancement showed a clearly encapsu lated mass occupying the right side of the upper intra-abdominal area. Endoscopy revealed two huge cauliflower-like polyps and one small pol yp in the stomach, and the biopsy specimens showed hyperplastic polyps . Moreover, multiple pigmentation of the buccal mucosa was also noted. The intra-abdominal mass was found to be a gastroduodenal intussuscep tion following laparotomy. Gastroduodenal intussusception occurring se condarily to Peutz-Jegher syndrome, is a rarely documented condition. Only one case has been reported in Japan during the previous years. We report on another case, and review the literature.