Triple invagination intestinale aiguë révélant un syndrome de Peutz Jeghers

Peutz-Jehgers is a rare genetic disease exhibiting autosomal dominant transmission. The syndrome involves mucocutaneous pigmentation, hamartomatous polyps of the small intestine and a family history. Hamartomatous polyps of the intestine cause intermittent abdominal pain, chronic anemia and especially obstruction by intussusception. Imaging allows the diagnosis of intussusception on the polyps. The formal diagnosis of Peutz Jeghers is established only by histological examination. We report a rare case of triple intussusception on hamartomatous polyps in a 24-year-old patient, known for chronic anemia and who consulted for abdominal pain. Ultrasound and CT provided objective evidence of three small bowel invaginations. Laparotomy followed by resection of the intestinal polyps was performed. Histological examination established the diagnosis of hamartomatous Peutz Jehgers polyps. This case illustrates the value of early diagnosis of the disease and its treatment, due to the risk of chronic bleeding and/or stenosis in the different segments of the digestive tract.