Related Experiment Videos
[Acute abdomen in endemic sprue--a rare complication]
B Koberstein1, J Wedell, K Balzer
1Medizinische Klinik I, Klinikums Kreis Herford.
Medizinische Klinik (Munich, Germany : 1983)
|March 20, 1998
Summary
Celiac sprue, an autoimmune disorder triggered by gluten, can rarely lead to chronic ulcerative jejunoileitis. This condition may mimic intestinal lymphoma, necessitating surgical intervention and close monitoring.
Area of Science:
- Gastroenterology
- Internal Medicine
- Pathology
Background:
- Celiac sprue is an autoimmune small intestinal disease caused by gluten intolerance.
- It leads to intestinal mucosal damage and villous atrophy, often presenting as malabsorption syndrome.
Observation:
- A rare complication of celiac sprue in a 60-year-old woman involved recurrent abdominal pain.
- Barium contrast examination revealed intestinal stenosis, leading to an acute abdomen requiring surgery.
Findings:
- Histological examination identified chronic ulcerative jejunoileitis.
- Malignant intestinal lymphoma was considered but not found, making it a key differential diagnosis.
Implications:
- Surgical resection of affected bowel segments is the recommended treatment for this complication.
- Postoperative surveillance is crucial due to the potential progression to intestinal lymphoma.