Adult intussusception caused by Peutz-Jeghers hamartoma — an
unusual presentation
I M Hoh, G Fusai, and S Bhattacharya
The Royal London Hospital, Whitechapel,
London, UK.
Corresponding address: Mr S Bhattacharya,
Consultant Surgeon, Hepatobiliary and Pancreatic Surgery Unit,
The Royal London Hospital, Whitechapel, London, E1 1BB, UK
Email: Satya.Bhattacharya@bartsandthelondon.nhs.uk
Abstract
A young woman presented with severe acute abdominal
pain, superimposed on a past history of similar attacks. Ultrasonography
revealed a small bowel intussusception. This was confirmed on
laparotomy, and the lead lesion, an ileal polyp, was excised.
Histology showed this to be a Peutz-Jeghers hamartoma. The possibility
of intussusception should be kept in mind in adults presenting
with acute abdominal pain. Ultrasonography can provide rapid
and accurate corroboration.
Key words
intussusception, Peutz-Jeghers, hamartoma,
ultrasonography
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