Small bowel intussusception caused by a solitary Peutz-Jeghers–type polyp

Shohei Maruta; Seiichiro Inoue; Akio Odaka; Yuki Muta; Yuta Takeuchi; Yoshifumi Beck; Jun Kikuchi

doi:10.1016/j.epsc.2022.102227

Small bowel intussusception caused by a solitary Peutz-Jeghers–type polyp

Shohei Maruta, Seiichiro Inoue, Akio Odaka, Yuki Muta, Yuta Takeuchi, Yoshifumi Beck, Jun Kikuchi

Research output: Contribution to journal › Article › peer-review

Abstract

Intussusception with a pathological lead point (PLP) is rare in children, and diagnosis is often challenging. We experienced a 3-year-old boy with small bowel intussusception due to a solitary polyp of the Peutz-Jeghers (P-J) –type. The preoperative contrast-enhanced computed tomography (CT) scan clearly showed the PLP. Emergency laparotomy was performed, and approximately 50 cm of the necrotic part of the small bowel containing the polyp was resected. The postoperative course was uncomplicated. The case indicates that contrast-enhanced CT scan is useful for confirming not only intussusception but also the PLP. In terms of regular follow up, differential diagnosis of solitary P-J–type polyps from P-J syndrome is important.

Original language	English
Article number	102227
Journal	Journal of Pediatric Surgery Case Reports
Volume	79
DOIs	https://doi.org/10.1016/j.epsc.2022.102227
Publication status	Published - 2022 Apr
Externally published	Yes

Keywords

Contrast-enhanced computed tomography
Intussusception
Peutz-Jeghers syndrome
Peutz-Jeghers–type polyp
Small bowel

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Surgery

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10.1016/j.epsc.2022.102227

Cite this

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title = "Small bowel intussusception caused by a solitary Peutz-Jeghers–type polyp",

abstract = "Intussusception with a pathological lead point (PLP) is rare in children, and diagnosis is often challenging. We experienced a 3-year-old boy with small bowel intussusception due to a solitary polyp of the Peutz-Jeghers (P-J) –type. The preoperative contrast-enhanced computed tomography (CT) scan clearly showed the PLP. Emergency laparotomy was performed, and approximately 50 cm of the necrotic part of the small bowel containing the polyp was resected. The postoperative course was uncomplicated. The case indicates that contrast-enhanced CT scan is useful for confirming not only intussusception but also the PLP. In terms of regular follow up, differential diagnosis of solitary P-J–type polyps from P-J syndrome is important.",

keywords = "Contrast-enhanced computed tomography, Intussusception, Peutz-Jeghers syndrome, Peutz-Jeghers–type polyp, Small bowel",

author = "Shohei Maruta and Seiichiro Inoue and Akio Odaka and Yuki Muta and Yuta Takeuchi and Yoshifumi Beck and Jun Kikuchi",

note = "Funding Information: No funding or grant support. Publisher Copyright: {\textcopyright} 2022 The Authors",

year = "2022",

month = apr,

doi = "10.1016/j.epsc.2022.102227",

language = "English",

volume = "79",

journal = "Journal of Pediatric Surgery Case Reports",

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T1 - Small bowel intussusception caused by a solitary Peutz-Jeghers–type polyp

AU - Maruta, Shohei

AU - Inoue, Seiichiro

AU - Odaka, Akio

AU - Muta, Yuki

AU - Takeuchi, Yuta

AU - Beck, Yoshifumi

AU - Kikuchi, Jun

PY - 2022/4

Y1 - 2022/4

N2 - Intussusception with a pathological lead point (PLP) is rare in children, and diagnosis is often challenging. We experienced a 3-year-old boy with small bowel intussusception due to a solitary polyp of the Peutz-Jeghers (P-J) –type. The preoperative contrast-enhanced computed tomography (CT) scan clearly showed the PLP. Emergency laparotomy was performed, and approximately 50 cm of the necrotic part of the small bowel containing the polyp was resected. The postoperative course was uncomplicated. The case indicates that contrast-enhanced CT scan is useful for confirming not only intussusception but also the PLP. In terms of regular follow up, differential diagnosis of solitary P-J–type polyps from P-J syndrome is important.

AB - Intussusception with a pathological lead point (PLP) is rare in children, and diagnosis is often challenging. We experienced a 3-year-old boy with small bowel intussusception due to a solitary polyp of the Peutz-Jeghers (P-J) –type. The preoperative contrast-enhanced computed tomography (CT) scan clearly showed the PLP. Emergency laparotomy was performed, and approximately 50 cm of the necrotic part of the small bowel containing the polyp was resected. The postoperative course was uncomplicated. The case indicates that contrast-enhanced CT scan is useful for confirming not only intussusception but also the PLP. In terms of regular follow up, differential diagnosis of solitary P-J–type polyps from P-J syndrome is important.

KW - Contrast-enhanced computed tomography

KW - Intussusception

KW - Peutz-Jeghers syndrome

KW - Peutz-Jeghers–type polyp

KW - Small bowel

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JF - Journal of Pediatric Surgery Case Reports

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Small bowel intussusception caused by a solitary Peutz-Jeghers–type polyp

Abstract

Keywords

ASJC Scopus subject areas

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