A rare cause of mechanical intestinal obstruction due to small bowel intussusception: A solitary Peutz-Jeghers type hamartomatous polyp

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dc.authoridAytin, Yusuf Emre/0000-0003-2692-4124
dc.authorwosidAytin, Yusuf Emre/GWV-5898-2022
dc.contributor.authorAytin, Yusuf Emre
dc.contributor.authorTurkyilmaz, Zeliha
dc.date.accessioned2024-06-12T11:02:53Z
dc.date.available2024-06-12T11:02:53Z
dc.date.issued2022
dc.departmentTrakya Üniversitesien_US
dc.description.abstractPeutz-Jeghers Syndrome (PJS) is a rare autosomal dominant disorder which is characterized by hyperpigmentation in mucocutaneous membranes and hamartomatous polyps in the gastrointestinal tract (GIT). Common complications reported in patients with PSJ are bleeding and mechanical intestinal obstruction due to the hamartomatous polyps. There is also an increased risk of gastrointestinal and extra-intestinal malignancies in patients with PJS. A 28-year-old female patient was admitted to the emergency service with complaints of abdominal pain and vomiting. In addition to distention and tenderness on abdominal examination, revealed hyperpigmented lesions on her lips. An abdominal examination did not reveal any scar from the previous abdominal operation. The patient with suspected mechanical intestinal obstruction at pre-diagnosis demonstrated intussusception in the distal jejunal loops on abdominal tomography. In the diagnostic laparoscopy observed intussusception in jejunal loops. After a minimal suprapubic incision, small intestine loops were checked through alexis with bidigital palpation and no other intraluminal mass were detected. Laparoscopy-assisted jejunojejunal resection and anastomosis was performed for the intussusception segment, where the polyb is located. It has been recommended that endoscopic polyps removal should be performed to avoid multiple surgical resections, which lead to short bowel syndrome. It has been recommended that endoscopic polyps removal should be performed to avoid multiple surgical resections, which lead to short bowel syndrome. By the nature of the disease, there may be multiple polyps simultaneously in the GIT and the associated risk of recurrent intussusception attacks in patients with PJS. To prevent short bowel syndrome and intra-abdominal adhesions due to repeated, laparotomies treatment with combined endoscopy and laparoscopic/laparoscopy-assisted surgery should be preferred in patients with PJS.en_US
dc.identifier.doi10.14744/tjtes.2021.34560
dc.identifier.endpage883en_US
dc.identifier.issn1306-696X
dc.identifier.issn1307-7945
dc.identifier.issue6en_US
dc.identifier.pmid35652870en_US
dc.identifier.scopus2-s2.0-85131243339en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage879en_US
dc.identifier.trdizinid1138397en_US
dc.identifier.urihttps://doi.org/10.14744/tjtes.2021.34560
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/1138397
dc.identifier.urihttps://hdl.handle.net/20.500.14551/21458
dc.identifier.volume28en_US
dc.identifier.wosWOS:000809604900026en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTurkish Assoc Trauma Emergency Surgeryen_US
dc.relation.ispartofUlusal Travma Ve Acil Cerrahi Dergisi-Turkish Journal Of Trauma & Emergency Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectHamartomatous Polypen_US
dc.subjectIntussusceptionen_US
dc.subjectLaparoscopic Surgeryen_US
dc.subjectPeutz-Jeghers Syndromeen_US
dc.subjectManagementen_US
dc.titleA rare cause of mechanical intestinal obstruction due to small bowel intussusception: A solitary Peutz-Jeghers type hamartomatous polypen_US
dc.typeArticleen_US

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