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Celiac disease and intussusception - a rare but important association
P Goyal1, S Nohria2, C Singh Grewal2
1Department of Medicine, Dayanand Medical College and Hospital, Ludhiana, India.
Insights
Recurrent intussusception in children can be linked to celiac disease. Further investigation is recommended for chronic or recurrent intussusception cases to diagnose underlying conditions like celiac disease.
Area of Science:
- Pediatric Gastroenterology
- Surgical Pediatrics
Background:
- Intussusception is common in children, often idiopathic.
- Chronic or recurrent intussusception warrants further investigation.
- Celiac disease is potentially associated with intussusception risk.
Observation:
- A 7-year-old child presented with recurrent intussusception.
- The child initially underwent laparotomy.
- Subsequent diagnosis revealed celiac disease.
Findings:
- This case highlights a link between recurrent intussusception and celiac disease.
- Celiac disease may present asymptomatically in some intussusception cases.
- The diagnostic pathway for intussusception requires careful consideration of underlying conditions.
Implications:
- Suggests considering celiac disease screening in pediatric intussusception.
- Emphasizes the importance of investigating recurrent intussusception.
- Informs clinical practice regarding pediatric intussusception diagnosis and management.
Abstract:
Most of the cases of intussusception in children are labeled as idiopathic and not usually investigated. Only rare cases of chronic or recurrent intussusception receive greater attention and further investigations. Celiac disease appears to be associated with modestly increased risk of intussusception, although most of these cases remain asymptomatic. Debate still continues as to whether all patients of intussusception should be screened for celiac disease. We present case of a 7 years old child who presented with recurrent intussusception, underwent laparotomy initially and was later diagnosed to have celiac disease.
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