{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T10:10:11Z","timestamp":1756375811973,"version":"3.44.0"},"reference-count":9,"publisher":"BMJ","issue":"4","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,2,17]]},"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:p>Peutz-Jeghers syndrome (PJS) is an autosomal dominant disorder, which manifests as mucocutaneous hyperpigmentation and, intestinal and extraintestinal polyps. The classic triad of abdominal pain, mass and jam-like stools are not found commonly. On clinical examination, a strong suspicion of PJS should be made if patients below 18 years, present with mucocutaneous hyperpigmentation and intestinal obstruction. We report a case of a 16-year-old woman who presented to the surgical emergency with a 1-day history of acute pain in abdomen, in right iliac fossa and features of intestinal obstruction. A thorough history and clinical examination supported by diagnostic imaging should be done in suspicious cases for prompt diagnosis and appropriate treatment.<\/jats:p>","DOI":"10.1136\/bcr-2020-239079","type":"journal-article","created":{"date-parts":[[2021,4,1]],"date-time":"2021-04-01T13:21:42Z","timestamp":1617283302000},"page":"e239079","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Intestinal obstruction with oral pigmentation: a clue to Peutz-Jeghers syndrome"],"prefix":"10.1136","volume":"14","author":[{"given":"Ankit","family":"Sahoo","sequence":"first","affiliation":[{"name":"General Surgery, All India Institute of Medical Sciences, Bhubaneswar, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8975-1131","authenticated-orcid":false,"given":"Pradeep","family":"Singh","sequence":"additional","affiliation":[{"name":"General Surgery, All India Institute of Medical Sciences, Bhubaneswar, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0482-2533","authenticated-orcid":false,"given":"Swastik","family":"Mishra","sequence":"additional","affiliation":[{"name":"General Surgery, All India Institute of Medical Sciences, Bhubaneswar, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,4,1]]},"reference":[{"key":"2025082802311919000_14.4.e239079.1","doi-asserted-by":"publisher","DOI":"10.1007\/s10689-008-9212-x"},{"key":"2025082802311919000_14.4.e239079.2","doi-asserted-by":"crossref","first-page":"252","DOI":"10.4103\/jcrt.JCRT_866_17","article-title":"Recurrent intestinal obstruction in a patient of Peutz-Jeghers syndrome","volume":"15","author":"Kumar","year":"2019","journal-title":"J Cancer Res Ther"},{"key":"2025082802311919000_14.4.e239079.3","unstructured":"NORD (National Organization for Rare Disorders) . Peutz Jeghers syndrome. Available: https:\/\/rarediseases.org\/rare-diseases\/peutz-jeghers-syndrome\/"},{"key":"2025082802311919000_14.4.e239079.4","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.15.5397"},{"key":"2025082802311919000_14.4.e239079.5","doi-asserted-by":"crossref","first-page":"96","DOI":"10.4103\/mamcjms.mamcjms_29_19","article-title":"Peutz Jeghers syndrome presenting as intestinal obstruction with ileocolic intussusception: a rare presentation","volume":"5","author":"Sathvika","year":"2019","journal-title":"MAMC J Med Sci"},{"key":"2025082802311919000_14.4.e239079.6","first-page":"2296","article-title":"Unusual presentation of intussusception of the small bowel with Peutz jeghers syndrome: report of a case","volume":"7","author":"Shrivastava","year":"2013","journal-title":"J Clin Diagn Res"},{"key":"2025082802311919000_14.4.e239079.7","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.15.407"},{"key":"2025082802311919000_14.4.e239079.8","unstructured":"Freely M , Raul DO . Pathology outlines - Peutz-Jeghers syndrome. Available: https:\/\/www.pathologyoutlines.com\/topic\/colontumorPeutz.html"},{"key":"2025082802311919000_14.4.e239079.9","doi-asserted-by":"crossref","DOI":"10.1186\/s12876-019-0987-z","article-title":"Early screening the small bowel is key to protect Peutz-Jeghers syndrome patients from surgery: a novel mutation c.243delG in STK11 gene","volume":"19","author":"Jiang","year":"2019","journal-title":"BMC Gastroenterol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-239079","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T09:31:28Z","timestamp":1756373488000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-239079"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4]]},"references-count":9,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2021,4,1]]},"published-print":{"date-parts":[[2021,4]]}},"alternative-id":["10.1136\/bcr-2020-239079"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-239079","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2021,4]]}}}