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Report of a Case of Peutz-Jeghers Syndrome Treated with Intraoperative Endoscopic Polypectomy T. Hachisu 1 , K. Orii 1 , Y. Sakuraba 1 , Y. Endo 1 , T. Yokoyama 1 1Department of Surgery, Sakura National Hospital pp.483-487
Published Date 1977/4/25
DOI https://doi.org/10.11477/mf.1403112585
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 A case of Peutz-Jeghers Syndrome complicated with acute pancreatitis is reported. The patient was a 17 years old high school girl admitted for the chief complaints of epigastrial pain, nausea and vomiting. Numerous small spots with brown pigmentation were observed on her lips, oral mucosa and fingers. Laboratory data on admission showed marked leucocytosis and increased amylase level in both serum and urine. Roentogenographic and endoscopic examination revealed diffuse polyposis in the stomach, duodenum and both in the small and large bowels. The findings of invagination was not observed. She was diagnosed to have Peutz-Jeghers Syndrome with acute pancreatitis. Acute pancreatitis was treated with fasting and intravenous hyperalimentation. Three weeks after therapy, her complaints lessened and laboratory data improved.

 The patient, however, developed invagination soon after she began eating at the eighth week. At laparotomy invagination was reposed manually. Then intraoperative endoscopic polypectomy was performed through a small incision in the jejunum, and fifty polyps were resected. Eight months after the treatment, the patient was quite well.

 Since patients with Peutz-Jeghers Syndrome are at a high risk of death due to invagination and for its prevention polypectomy is necessary, endoscopic polypectomy is recommended when they are operated on for reposition of invagination.


Copyright © 1977, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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