Case of the Month March 2014, page 8

Answer:
c) there are multiple well circumscribed filling defects seen in multiple small bowel loops. Recall that this patient has Peutz-Jegers disease: these filling defects represent small bowel polyps.

Why is it important to remember that this patient has Peutz-Jegers disease?
a) Because she also has polyps, but it has nothing to do with her
b) Patients with Peutz-Jegers disease are at an increased risk for ileus.
c) Polps can act as lead points for intussusception, causing repeated small bowel obstructions.
d) Patients with Peutz-Jegers commonly present with metastatic cancer.


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