Peutz–Jeghers syndrome – Be in need of vigilance: A case report

Peutz–Jeghar syndrome (PJS) is an inherited condition that puts people at an increased risk for developing hamarotmatous polyps in the digestive tract as well as cancers of the breast, colon, rectum, pancreas, stomach, testicles, ovaries, lung and cervix. With typical presentation, majority cases of...

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Main Authors: Vandana S. Tomey, Sudhir Tomey, Kewal Dhone, Tanmay Tapase
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Journal of Family Medicine and Primary Care
Subjects:
Online Access:https://journals.lww.com/10.4103/jfmpc.jfmpc_958_24
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author Vandana S. Tomey
Sudhir Tomey
Kewal Dhone
Tanmay Tapase
author_facet Vandana S. Tomey
Sudhir Tomey
Kewal Dhone
Tanmay Tapase
author_sort Vandana S. Tomey
collection DOAJ
description Peutz–Jeghar syndrome (PJS) is an inherited condition that puts people at an increased risk for developing hamarotmatous polyps in the digestive tract as well as cancers of the breast, colon, rectum, pancreas, stomach, testicles, ovaries, lung and cervix. With typical presentation, majority cases of PJS can be diagnosed in childhood. PJS is inherited by mutation in the STK II gene, also known as LKB1 gene. We describe the case of a 14-year-old male who presented to us with recurrent abdominal pain, vomiting and weight loss associated with growth failure. Classic melanin spots were present on lips and buccal mucosa. Diagnosis of PJS was established via clinical history, examination, CT scan, and endoscopy revealing the need for laparotomy for bowel obstruction secondary to chronic intermittent intussusception, enterotomy for small polyps. Polyp histopathology was consistent with hamartomatous polyps of PJS.
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institution Kabale University
issn 2249-4863
2278-7135
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publishDate 2024-12-01
publisher Wolters Kluwer Medknow Publications
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series Journal of Family Medicine and Primary Care
spelling doaj-art-65f803b82d0744f5bcf4b65684285a8a2025-01-11T10:14:14ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632278-71352024-12-0113125927593010.4103/jfmpc.jfmpc_958_24Peutz–Jeghers syndrome – Be in need of vigilance: A case reportVandana S. TomeySudhir TomeyKewal DhoneTanmay TapasePeutz–Jeghar syndrome (PJS) is an inherited condition that puts people at an increased risk for developing hamarotmatous polyps in the digestive tract as well as cancers of the breast, colon, rectum, pancreas, stomach, testicles, ovaries, lung and cervix. With typical presentation, majority cases of PJS can be diagnosed in childhood. PJS is inherited by mutation in the STK II gene, also known as LKB1 gene. We describe the case of a 14-year-old male who presented to us with recurrent abdominal pain, vomiting and weight loss associated with growth failure. Classic melanin spots were present on lips and buccal mucosa. Diagnosis of PJS was established via clinical history, examination, CT scan, and endoscopy revealing the need for laparotomy for bowel obstruction secondary to chronic intermittent intussusception, enterotomy for small polyps. Polyp histopathology was consistent with hamartomatous polyps of PJS.https://journals.lww.com/10.4103/jfmpc.jfmpc_958_24enterotomyhamartomatous polypsintussusceptionmucocutaneous pigmentationmucosal polypspeutz–jeghar syndrome
spellingShingle Vandana S. Tomey
Sudhir Tomey
Kewal Dhone
Tanmay Tapase
Peutz–Jeghers syndrome – Be in need of vigilance: A case report
Journal of Family Medicine and Primary Care
enterotomy
hamartomatous polyps
intussusception
mucocutaneous pigmentation
mucosal polyps
peutz–jeghar syndrome
title Peutz–Jeghers syndrome – Be in need of vigilance: A case report
title_full Peutz–Jeghers syndrome – Be in need of vigilance: A case report
title_fullStr Peutz–Jeghers syndrome – Be in need of vigilance: A case report
title_full_unstemmed Peutz–Jeghers syndrome – Be in need of vigilance: A case report
title_short Peutz–Jeghers syndrome – Be in need of vigilance: A case report
title_sort peutz jeghers syndrome be in need of vigilance a case report
topic enterotomy
hamartomatous polyps
intussusception
mucocutaneous pigmentation
mucosal polyps
peutz–jeghar syndrome
url https://journals.lww.com/10.4103/jfmpc.jfmpc_958_24
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AT kewaldhone peutzjegherssyndromebeinneedofvigilanceacasereport
AT tanmaytapase peutzjegherssyndromebeinneedofvigilanceacasereport