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[Celiac disease as a cause for occlusion of the small intestine]

K Pittschieler1

  • 1Pädiatrische Gastroenterologie, Regionales Krankenhaus, Bozen.

Klinische Padiatrie
|January 1, 1991
PubMed

Insights

A 13-month-old boy experienced intestinal pseudo-obstruction, which resolved with parenteral nutrition. Despite villous atrophy on biopsy, he tolerated gluten, suggesting non-celiac causes for his intestinal issues.

Area of Science:

  • Pediatric Gastroenterology
  • Gastrointestinal Motility Disorders
  • Enteropathies

Background:

  • Intestinal pseudo-obstruction presents diagnostic challenges in infants.
  • Differentiating functional and organic causes is crucial for appropriate management.

Observation:

  • A 13-month-old boy exhibited symptoms and imaging consistent with paralytic intestinal occlusion.
  • Intestinal motility normalized within 48 hours of initiating parenteral nutrition.
  • Jejunal biopsy revealed total villous atrophy.

Findings:

  • The patient's symptoms did not recur upon gluten challenge, ruling out celiac disease.
  • The presentation shares similarities with obstructive events seen in cow's milk protein-sensitive enteropathy.

Implications:

  • This case highlights the importance of considering non-celiac enteropathies in infantile intestinal pseudo-obstruction.
  • Parenteral nutrition can be an effective initial treatment for motility restoration.
  • Further investigation into cow's milk protein sensitivity may be warranted.

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