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Atypical Presentation of Celiac Disease: Recurrent Acute Small Bowel Obstruction

El Qadiry R1, Lalaoui A1, Nassih H1

  • 1Pediatric B Department, Mother-Child Pole, Mohammed VI University Hospital, Marrakesh, Morocco.

Clinical Medicine Insights. Case Reports
|January 25, 2021
PubMed

Insights

Recurrent intussusception in children may signal celiac disease. Testing for celiac disease is recommended for children experiencing repeated intussusception episodes.

Area of Science:

  • Pediatric Gastroenterology
  • Clinical Case Study

Background:

  • Intussusception is a primary cause of small bowel obstruction in young children.
  • Intussusception is an infrequently recognized complication of celiac disease.

Observation:

  • A 23-month-old boy presented with recurrent intestinal obstruction and malabsorptive diarrhea.
  • Abdominal ultrasound suggested intussusception, confirmed by elevated celiac-specific autoantibodies (IgA Tissue transglutaminase and endomysium Antibodies).

Findings:

  • The patient's symptoms significantly improved after initiating a gluten-free diet.
  • Recurrent intussusception can be linked to celiac disease.

Implications:

  • Celiac serology is advised for children with recurrent intussusception.
  • Differential diagnoses for intussusception in this context include intestinal tuberculosis and lymphoma.
  • Intussusception associated with celiac disease often resolves with expectant management, avoiding early surgical intervention.
Abstract

Keywords:
Recurrent small bowel obstructionceliac diseaseintussusception

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