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Atypical Presentation of Celiac Disease: Recurrent Acute Small Bowel Obstruction
CONTEXT: Intussusception is the most common cause of small bowel obstruction in children under 4 years of age. Intussusception is not a widely recognized complication of celiac disease. CASE REPORT: We present a clinical case of a 23-month-old boy with a 1-month history of watery diarrhea complicate...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7809297/ https://www.ncbi.nlm.nih.gov/pubmed/33488134 http://dx.doi.org/10.1177/1179547620986152 |
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author | R, El Qadiry A, Lalaoui H, Nassih I, Aitsab A, Bourrahouat |
author_facet | R, El Qadiry A, Lalaoui H, Nassih I, Aitsab A, Bourrahouat |
author_sort | R, El Qadiry |
collection | PubMed |
description | CONTEXT: Intussusception is the most common cause of small bowel obstruction in children under 4 years of age. Intussusception is not a widely recognized complication of celiac disease. CASE REPORT: We present a clinical case of a 23-month-old boy with a 1-month history of watery diarrhea complicated by 2 episodes of intestinal obstruction, both had required surgery. He presented with acute and severe abdominal distention with bilious vomiting, and an appearance of intussusception on abdominal ultrasound. Upon further investigation, the diarrhea was found to be malabsorptive. The diagnosis of celiac disease was confirmed by the presence of specific serum autoantibodies (IgA Tissue transglutaminase and endomysium Antibodies >200 UI/ml with normal serum IgA level). He started a gluten-free diet and his symptoms were almost completely resolved. CONCLUSION: Recurrent intussusception may be associated with celiac disease, so celiac serology is recommended in children with recurrent intussusceptions. However, intestinal tuberculosis and lymphoma associated with enteropathy should be considered in the differential diagnosis. Intussusception in celiac disease is usually transient and should be managed expectantly rather than early surgical reduction. |
format | Online Article Text |
id | pubmed-7809297 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-78092972021-01-22 Atypical Presentation of Celiac Disease: Recurrent Acute Small Bowel Obstruction R, El Qadiry A, Lalaoui H, Nassih I, Aitsab A, Bourrahouat Clin Med Insights Case Rep Case Report CONTEXT: Intussusception is the most common cause of small bowel obstruction in children under 4 years of age. Intussusception is not a widely recognized complication of celiac disease. CASE REPORT: We present a clinical case of a 23-month-old boy with a 1-month history of watery diarrhea complicated by 2 episodes of intestinal obstruction, both had required surgery. He presented with acute and severe abdominal distention with bilious vomiting, and an appearance of intussusception on abdominal ultrasound. Upon further investigation, the diarrhea was found to be malabsorptive. The diagnosis of celiac disease was confirmed by the presence of specific serum autoantibodies (IgA Tissue transglutaminase and endomysium Antibodies >200 UI/ml with normal serum IgA level). He started a gluten-free diet and his symptoms were almost completely resolved. CONCLUSION: Recurrent intussusception may be associated with celiac disease, so celiac serology is recommended in children with recurrent intussusceptions. However, intestinal tuberculosis and lymphoma associated with enteropathy should be considered in the differential diagnosis. Intussusception in celiac disease is usually transient and should be managed expectantly rather than early surgical reduction. SAGE Publications 2021-01-13 /pmc/articles/PMC7809297/ /pubmed/33488134 http://dx.doi.org/10.1177/1179547620986152 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Case Report R, El Qadiry A, Lalaoui H, Nassih I, Aitsab A, Bourrahouat Atypical Presentation of Celiac Disease: Recurrent Acute Small Bowel Obstruction |
title | Atypical Presentation of Celiac Disease: Recurrent Acute Small Bowel Obstruction |
title_full | Atypical Presentation of Celiac Disease: Recurrent Acute Small Bowel Obstruction |
title_fullStr | Atypical Presentation of Celiac Disease: Recurrent Acute Small Bowel Obstruction |
title_full_unstemmed | Atypical Presentation of Celiac Disease: Recurrent Acute Small Bowel Obstruction |
title_short | Atypical Presentation of Celiac Disease: Recurrent Acute Small Bowel Obstruction |
title_sort | atypical presentation of celiac disease: recurrent acute small bowel obstruction |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7809297/ https://www.ncbi.nlm.nih.gov/pubmed/33488134 http://dx.doi.org/10.1177/1179547620986152 |
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