Contrast‐enhanced ultrasound of polyp malignant transformation with multiple metastases in a patient with Peutz‐Jeghers syndrome

Multi‐systemic metastasis in patients with Peutz‐Jeghers syndrome (PJS) is very rare, and there are nearly no relevant imaging reports, especially in contrast‐enhanced ultrasound (CEUS). We present here a 40‐year‐old male patient who underwent several partial small bowel resections and endoscopic po...

Full description

Saved in:
Bibliographic Details
Published in:Journal of clinical ultrasound 2024-06, Vol.52 (5), p.649-652
Main Authors: Wang, Xiangyu, Zhang, Longfang, Qiao, Huilian, Liu, Xi, Fan, Xiaozhou
Format: Article
Language:English
Subjects:
Adult
Biopsy
Contrast Media
contrast‐enhanced ultrasound
Gastrointestinal system
Gastrointestinal tract
Humans
Image Enhancement - methods
Intestinal Polyps - diagnostic imaging
Intestinal Polyps - surgery
Liver
Liver Neoplasms - diagnostic imaging
Liver Neoplasms - secondary
Male
Malignancy
malignant transformation
Medical imaging
Metastases
Patients
Peutz-Jeghers Syndrome - complications
Peutz-Jeghers Syndrome - diagnostic imaging
Peutz‐Jeghers syndrome
Phospholipids
Polyps
Small intestine
Sulfur
Sulfur Hexafluoride
Ultrasonography - methods
Ultrasound
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Multi‐systemic metastasis in patients with Peutz‐Jeghers syndrome (PJS) is very rare, and there are nearly no relevant imaging reports, especially in contrast‐enhanced ultrasound (CEUS). We present here a 40‐year‐old male patient who underwent several partial small bowel resections and endoscopic polypectomy for intestinal polyps. After reviewing the patient's clinical diagnosis and treatment process, CEUS with sulfur hexafluoride microbubbles (SonoVue, Bracco, Milan, Italy) in the liver and gastrointestinal tract was performed. We imaged multiple abnormal masses with sonographic features consistent with malignancies. Combined with other imaging examinations and 18 gauge core‐needle puncture biopsy of liver masses, multiple metastases outside the gastrointestinal tract were considered. This case report suggests CEUS may be an easy, effective, and supplementary method for evaluating PJS patients with suspected multi‐systemic malignant lesions including the gastrointestinal tract. Contrast‐enhanced ultrasound of the liver and small intestine was performed in a 40‐year‐old male patient with Peutz‐Jeghers syndrome. Here we presented the ultrasound typical findings of liver metastasis and possibly malignant polyp in small intestine.
ISSN:0091-2751
1097-0096
DOI:10.1002/jcu.23677