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ROJA RANI Abstract For Poster

This document summarizes a case report being presented at the 8th Annual Conference of the Association of Surgeons of India in Telangana State. The case report describes a rare case of a 16-year-old boy presenting with acute intestinal obstruction caused by Peutz-Jeghers syndrome. The boy had a history of pigmented macules on his lips and buccal mucosa since childhood. Surgery revealed an ileo-ileal intussusception caused by a large polyp, which was resected. Histopathological examination confirmed Peutz-Jeghers syndrome. The presentation aims to highlight the need for investigating infants with pigmented macules for this rare syndrome and lifelong surveillance due to

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144 views4 pages

ROJA RANI Abstract For Poster

This document summarizes a case report being presented at the 8th Annual Conference of the Association of Surgeons of India in Telangana State. The case report describes a rare case of a 16-year-old boy presenting with acute intestinal obstruction caused by Peutz-Jeghers syndrome. The boy had a history of pigmented macules on his lips and buccal mucosa since childhood. Surgery revealed an ileo-ileal intussusception caused by a large polyp, which was resected. Histopathological examination confirmed Peutz-Jeghers syndrome. The presentation aims to highlight the need for investigating infants with pigmented macules for this rare syndrome and lifelong surveillance due to

Uploaded by

saikrishnamedico
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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8TH ANNUAL CONFERENCE OF ASSOCIATION OF SURGEONS OF INDIA

TELANGANA STATE

TS ASICON – 2022

TITLE PEUTZ JEGHERS SYNDROME PRESENTING WITH ACUTE INTESTINAL

OBSTRUCTION - A RARE CASE REPORT.

Presenting Author: Dr. K Roja Rani.

Designation: Junior Resident in Surgery

Name of the coauthor Dr. (Col) Prasan Kumar Hota, Prof & HOD, Dept. of Surgery

Name of the college: Mamata Medical College, Khammam.

Contact number: 7288864968

Email id: rojarani7288864968@gmail.com

Conference registration ID: TSASI-146

ASI membership number: 2211922

I hereby declare that I have completely read the guidelines for poster presentation and I assure that
this work is carried out by me under the guidance of our HOD, and has not been presented by me
anywhere.

Signature of presenter Signature of HOD


ABSTRACT FOR BEST E POSTER AWARD

TITLE: PEUTZ JEGHERS SYNDROME PRESENTING WITH ACUTE INTESTINAL


OBSTRUCTION: A RARE CASE REPORT.

Aims:

To report a rare case of Peutz Jeghers syndrome (PJS) in a 16-year-old boy presenting with acute
intestinal obstruction.

Case report:

A 16 years old boy presented with colicky abdominal pain in the peri-umbilical region with
bilious vomiting and constipation of one day duration. Physical examination revealed multiple
black colored pigmentations over buccal mucosa and both the lips since childhood. Abdominal
examination revealed tenderness in the umbilical and hypogastric regions associated with
palpable distended bowel loops in hypogastric region with diminished bowel sounds. Radiograph
showed dilated bowel loops with air fluid levels suggestive of acute intestinal obstruction.
Ultrasound abdomen showed target sign with b owel in bowel with an echogenic portion
revealing mesentery. Lab investigations revealed anemia with Hb of 7.6gm% with polymorpho
leukocytosis (N-84%) with routine biochemical parameters were un remarkable. Patient was
adequately hydrated with IV fluids and two units of blood transfusion preoperatively. Patient
underwent Emergency exploratory laparotomy. Ileo-ileal intussusception was noted about 50 cms
from ileo caecal junction, which was reduced. A large polyp was seen in the lumen as cause of
intussusception. Small bowel segmental resection with end to end anastomosis was performed.
Specimen sent for Histopathological Examination. Histopathological examination revealed
multiple sessile polyps with one large 1.5×1cm with dysplastic glands with nuclear atypia and
increased mitotic activity and smooth muscle bundles intersecting glands.

Conclusion:
Peutz –Jeghers syndrome is a rare syndrome. All the infants with pigmented macules in perioral
regions should be investigated for PJS. These patients should be kept for lifelong surveillance
keeping in view the fact that they are more prone for malignancies.
8 TH ANNUAL CONFERENCE OF ASSOCIATION OF SURGEONS OF INDIA
TELANGANA STATE
TS ASICON – 2022

HOD CERTIFICATION FOR POST GRADUATE STUDENTS

This is to certify Dr. K Roja Rani ,post graduate student of Mamata Medical
College,Khammam is permitted to present above mentioned poster titled “PEUTZ JEGHERS
SYNDROME WITH ACUTE INTESTINAL OBSTRUCTION”- A RARE CASE REPORT in
the 8th Annual conference of Association of surgeons of India conducted at Chalmeda Anand Rao
Institute of Medical Sciences ,Karimnagar, Telangana.

Signature of HOD

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