2014, Number 4
Anales de Radiología México 2014; 13 (4)
Zamora-Romero AP, Gutiérrez-Canencia C, Delon-Huerta N, Hernández-Peredo G, Escárcega-Fujiyaki P, Vargas-González R, Castán-Lugo E
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ABSTRACTHamartomatous polyps of the jejunum and ileum are common in Peutz-Jeghers syndrome. However, some appear in the absence of other characteristics of the syndrome and manifest as abdominal pain due to an invagination of the intestine caused by polyps, which cedes spontaneously. We present the case of a girl age 13 years with history of 6 years of abdominal pain and cyclic vomiting. An ultrasound was taken where we observed pseudokidney sign and targetlike in the left hypochondrium; subsequently, we observed negative filling defect which deformed the intestinal lumen in filiform shape at the level of the jejune; later the abdominal tomography confirmed the findings of intestinal invagination. During surgery the intestinal invagination was located at the level of the jejune, which shrank satisfactorily; pathology reported a Peutz-Jeghers hamartomatous polyp.