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Refractory Celiac Disease Type II: A Case Report and Literature Review
Richa Chibbar1,2, Jordan Nostedt3, Dana Mihalicz3
1Division of Gastroenterology, Department of Medicine, University of Alberta, Edmonton, AB, Canada.
Abstract:
We present an unusual case of 68-year-old male, who presented with acute abdomen, ulcerative jejunitis with perforation, and 2 months later with perforation of the sigmoid colon. We will also discuss difficulties in the delay in diagnosis of refractory celiac disease (RCD), specifically the atypical presentation, multiple surgeries, the consecutive failure of distinct therapeutic options, and multiple complications that occurred within the 3 months since first presentation.
