A 10-year-old girl presents with acute abdominal pain.
Clinical examination reveals freckles on her face and upper lip.

Peutz-Jeghers Syndrome with Jejuno-Jejunal Intussusception
A 10-year-old girl presents with acute abdominal pain.
Clinical examination reveals freckles on her face and upper lip, freckles in her buccal mucosa, and on her fingertips, consistent with Peutz-Jeghers syndrome.
Small bowel follow-through reveals multiple filling defects within a dilated jejunum in the left upper quadrant, consistent with small bowel polyps. The findings are characteristic of Peutz-Jeghers syndrome, . Ashley Davidoff MD (00513) (001SB).

UGI and small bowel follow through was performed. Which of the following is the MOST likely diagnosis?
A. Internal hernia with obstruction
B. A large mass with partial small bowel obstruction
C. Intussusception
D.Internal hernia without obstruction