- 期刊
Jejunojejunal Intussusception due to Peutz-Jeghers Syndrome: Report of a Case and Review of the Literature
起因於Peutz-Jeghers症候群的空腸－空腸腸套疊：病例報告及文獻回顧
摘要
Peutz-Jeghers症候群是一種罕見的體染色體顯性遺傳性疾病，以腸胃道多發性息肉增生及表皮黏膜的色素沉澱為特點。此類病人常因腸阻塞、腸套疊或出血等併發症而多次接受手術治療。同時，此類病人合併癌症之機率較一般人高出許多，因此手術前之正確診斷，手術中之內視鏡息肉切除術及詳細的術後追蹤，將對病人有極大助益。在此報告一例起因於Peutz-Jeghers症候群之空腸－空腸腸套疊病例，並作文獻回顧。
並列摘要
Peutz-Jeghers syndrome is a rare, autosomal dominant inherited trait characterized by the presence of gastrointestinal hamartomatous polyps and mucocutaneous pigmentation. Intussusception, intestinal obstruction and bleeding frequently occur in patients with this syndrome and may lead to multiple laparotomies. In addition, these patients are at risk of gastrointestinal and extraintestinal malignancies. Accurate preoperative diagnosis, intraoperative endoscopic polypectomy and careful postoperative surveillance will reduce the number of laparotomies, complications and benefit these patients. We herein report a case of jejunojejunal intussusception induced by a Peutz-Jeghers polyp. The management and literature are reviewed.
延伸閱讀
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