INCOMPLETE TYPE PEUTZ-JEGHERS SYNDROME FOUND AT AN OPERATION FOR AN ILEO-COLIC INVAGINATION-REPORT OF A CASE-

Abstract

A 61-year-old woman was admitted to the hospital because of epigastric pain and vomiting. A fist sized tumor was palpable in the right lower abdomen. Ileo-colic invagination was revealed by abdominal US and CT. Right hemicolectomy was performed at an emergency operation. Histologically, a solitary thumb's head sized polyp with a cerebriformed surface was revealed in the ileum at about 50 cm distant from the ileocecal region. It was considered that the polyp caused the invagination. Pathological diagnosis was Peutz-Jeghers type hamartomatous polyps. This patient lacked characteristic mucocutaneous pigmentation, and had not heredity factor. We concluded that this patient had an incomplete type Peutz-Jeghers syndrome.