| A Case of Peutz-Jeghers Syndrome Diagnosed by Wireless Capsule Endoscopy |
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Seung Uk Jeong, Hyun Joo Song, Eun Kwang Choi, Yoo-Kyung Cho, Heung Up Kim, Byung-Cheol Song, Weon Young Chang, Young-Hee Maeng |
*Departments of Internal Medicine, Surgery
*and Pathology, Jeju National University School of Medicine, Jeju, Korea
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| 캡슐내시경으로 진단한 Peutz-Jeghers 증후군 |
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정승욱, 송현주, 최은광, 조유경, 김흥업, 송병철, 장원영, 맹영희 |
*제주대학교 의학전문대학원 내과학교실, 외과학교실
*병리학교실† |
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| Abstract |
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Peutz-Jeghers syndrome (PJS), is a rare autosomal dominant hereditary disorder. Intestinal hamartomatous polyps in association with melanocytic pigmentation of the skin and mucous membranes characterize PJS. Patients with PJS often have complications associated with the polyps, such as intestinal obstruction, intussusception, acute or chronic gastrointestinal bleeding, and the development of various types of cancer. Enteroclysis, small bowel follow-through, and push enteroscopy are generally used to identify the presence and location of small bowel polyps. Wireless capsule endoscopy (CE) has been confirmed as a feasible, safe, and sensitive test for the surveillance of small bowel polyps in patients with PJS and could replace radiographic small bowel surveillance. Here, a case of PJS newly diagnosed by CE is reported. The patient, a 30-year-old man who had developed rectal polyps associated with anal extrusion 7 years previously, had six episodes of hematochezia. (Intest Res 2010;8:181-186) |
| Key Words:
Peutz-Jeghers Syndrome, Capsule Endoscopy |
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