Peutz-Jeghers syndrome (PJS) is an autosomal dominant hamartomatous polyposis of the gastrointestinal tract, with pigmentation around lips, the buccal mucosa, and anal area. Patients have a strong family history. Patients of PJS present with abdominal pain, blood in stools, and occasionally melena because of polyps, along with classical mucocutaneous pigmentation. Very rarely a sporadic case of Peutz-Jeghers syndrome occurs in early childhood and adolescent. The case of a 14-year boy is reported, who presented with intussussception and bleeding per rectum due to jejunal polyp and a rectal polyp. Intussussception was treated by resection anastomosis due to vascular impairment. Rectal polyp was removed during colonoscopy. There was no family history of Peutz-Jeghers syndrome or polyps but patient had classical mucocutaneous pigmentation of buccal mucosa. Therefore, this case is of sporadic Peutz-Jeghers polyp (PJP), which is a rare disorder.
J Coll Physicians Surg Pak (Journal of the College of Physicians and Surgeons--Pakistan : JCPSP)
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