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[Recurrent bowel intussusception and celiac disease]
J A López Medina1, C González Hervás, A Cara Mariscal
1Hospital Universitario Virgen de las Nieves. Centro Materno-Infantil. Departamento de Pediatría. Granada.
Abstract:
We report a 1-year-old girl with acute abdominal pain. Clinical examination revealed distended abdomen with increased intestinal peristalsis without other pathologic signs. Ultrasound of the abdomen showed a small bowel intussusception. Seven days later, after a new episode of sudden acute abdominal pain, ultrasound revealed a new bowel intussusception. Ig A and Ig G antigliadin-antibodies were elevated and intestinal biopsy revealed total villous atrophy. After being placed on a gluten-free diet the girl was free of colicky complaints and on repeated ultrasound there was no sign of intussusception. With recurrent intussusception, celiac disease should be considered as a cause.