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Case report
Intestinal obstruction with oral pigmentation: a clue to Peutz-Jeghers syndrome
  1. Ankit Sahoo,
  2. Pradeep Singh and
  3. Swastik Mishra
  1. General Surgery, All India Institute of Medical Sciences, Bhubaneswar, India
  1. Correspondence to Dr Pradeep Singh; surg_pradeep{at}aiimsbhubaneswar.edu.in

Abstract

Peutz-Jeghers syndrome (PJS) is an autosomal dominant disorder, which manifests as mucocutaneous hyperpigmentation and, intestinal and extraintestinal polyps. The classic triad of abdominal pain, mass and jam-like stools are not found commonly. On clinical examination, a strong suspicion of PJS should be made if patients below 18 years, present with mucocutaneous hyperpigmentation and intestinal obstruction. We report a case of a 16-year-old woman who presented to the surgical emergency with a 1-day history of acute pain in abdomen, in right iliac fossa and features of intestinal obstruction. A thorough history and clinical examination supported by diagnostic imaging should be done in suspicious cases for prompt diagnosis and appropriate treatment.

  • general surgery
  • gastrointestinal surgery

https://doi.org/10.1136/bcr-2020-239079

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    Footnotes

    • Contributors AS has contributed to manuscript preparation, acquisition of pictures and review of the literature. PS has contributed to manuscript preparation, an extensive review of literature and editing the images. SM has contributed to manuscript preparation and editing of images.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.