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[Chronic ulcerative enteritis. Apropos of a case].

C Calvo Buceta, M Alcántara Torres, A Tutor Martínez

    Revista Espanola De Las Enfermedades Del Aparato Digestivo
    |November 1, 1989
    PubMed
    Summary

    Adult celiac disease (ACD) can lead to severe complications like nongranulomatous ulcerative enteritis. This case highlights the critical need for vigilance and further research into managing refractory ACD complications.

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    Area of Science:

    • Gastroenterology
    • Pathology

    Background:

    • Adult celiac disease (ACD) is an autoimmune disorder triggered by gluten ingestion.
    • Standard treatment involves a strict gluten-free diet (GFD).

    Observation:

    • A 40-year-old patient with ACD presented with malabsorption and abdominal pain.
    • Despite GFD adherence, the patient experienced two episodes of intestinal obstruction.
    • Exploratory laparotomy revealed nongranulomatous ulcerative enteritis.

    Findings:

    • Pathological examination showed mucosal and submucosal ulcers, inflammatory infiltrate, and partial villous atrophy.
    • The patient's condition was refractory to medical management, leading to a fatal outcome.

    Implications:

    • This case underscores the potential for severe, refractory complications in adult celiac disease.

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  • Further research is needed to understand and manage such severe enteritis cases.
  • Highlights the importance of considering ulcerative enteritis in refractory celiac disease presentations.