A rare association of intussusception and celiac disease in a child

Vanessa Pacini Inaba Fernandes1, Elizete Aparecida Lomazi2, Maria Angela Bellomo-Brandão2

  • 1MD, MSc. Attending Physician, Pediatric Gastroenterology, Universidade Estadual de Campinas (Unicamp), Campinas, SP, Brazil.

Insights

Chronic intussusception in children can be linked to underlying conditions like celiac disease. Early diagnosis and dietary changes, such as a gluten-free diet, can lead to complete symptom remission and restored growth.

Area of Science:

  • Pediatric Gastroenterology
  • Clinical Case Study

Background:

  • Intussusception is a frequent cause of pediatric intestinal obstruction, often idiopathic.
  • Chronic or unusual presentations warrant thorough etiological investigation.

Purpose of the Study:

  • To present a case of chronic intussusception in a child.
  • To highlight celiac disease as a rare underlying cause of intussusception.

Main Methods:

  • Clinical case presentation of a 3-year-old boy with prolonged gastrointestinal symptoms.
  • Diagnostic workup including abdominal ultrasound and upper gastrointestinal endoscopy.
  • Treatment with a gluten-free diet.

Main Results:

  • Initial presentation included diarrhea, vomiting, and weight loss.
  • Abdominal ultrasound revealed intussusception, which had resolved spontaneously.
  • Upper gastrointestinal endoscopy led to a diagnosis of celiac disease.
  • Gluten-free diet resulted in complete symptom remission and weight recovery.

Conclusions:

  • Unusual intussusception presentations necessitate etiological investigation.
  • Celiac disease can be an underlying cause of chronic intussusception in children.
  • Dietary management is effective for celiac disease-related intussusception.
Abstract

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