Abdominal intussusception associated with coeliac disease: case report and literature review
DOI:
https://doi.org/10.18203/2320-6012.ijrms20211904Keywords:
Intsusussception, Coeliac disease, Abdominal painAbstract
In genetically susceptible individuals, gluten ingestion triggers and immune infiltration and bowel damage in the classical pattern of coeliac disease, with variable symptoms. Intussusception is a condition where one segment of intestine ‘telescopes’ inside of another portion of intestine, which may cause symptoms of abdominal pain due to obstruction. Intussusception has been associated with coeliac disease. We report a 4-year-old girl presented with recurrent abdominal pain of variable severity and found to have intussusception on two occasions, which on both occasions reduced spontaneously during ultrasound examinations. She was later diagnosed with coeliac disease. This case highlights the importance of considering coeliac screening in patients with a history of recurrent abdominal pain and intussusception.
Metrics
References
Ntoulia A, Tharakan SJ, Reid JR, Mahboubi S. Failed Intussusception Reduction in Children: Correlation Between Radiologic, Surgical, and Pathologic Findings. AJR Am J Roentgenol. 2016;207(2):424-33.
Ebert EC. Gastrointestinal manifestations of Henoch-Schonlein Purpura. Dig Dis Sci. 2008;53(8):2011-9.
Lappalainen S, Ylitalo S, Arola A, Halkosalo A, Rasanen S, Vesikari T. Simultaneous presence of human herpesvirus 6 and adenovirus infections in intestinal intussusception of young children. Acta Paediatr. 2012;101(6):663-70.
Murphy TV, Gargiullo PM, Massoudi MS, Nelson DB, Jumaan AO, Okoro CA, et al. Intussusception among infants given an oral rotavirus vaccine. N Engl J Med. 2001;344(8):564-72.
Knowles MC, Fishman EK, Kuhlman JE, Bayless TM. Transient intussusception in Crohn disease: CT evaluation. Radiology. 1989;170(3):814.
Holsclaw DS, Rocmans C, Shwachman H. Intussusception in patients with cystic fibrosis. Pediatrics. 1971;48(1):51-8.
Lloyd DA, Kenny SE. The surgical abdomen. In: Walker WA, Goulet O, Kleinman RE, eds. Pediatric Gastrointestinal Disease: Pathopsychology, Diagnosis, Management. 4th ed. BC Decker; 2004: 604.
Reilly NR, Aguilar KM, Green PH. Should intussusception in children prompt screening for celiac disease?. J Pediatr Gastroenterol Nutr. 2013;56(1):56-9.
Gheibi S. Association between Celiac Disease and Intussusceptions in Children: Two Case Reports and Literature Review. Pediatr Gastroenterol Hepatol Nutr. 2013;16(4):269-72.
Gonda TA, Khan SU, Cheng J, Lewis SK, Rubin M, Green PH. Association of intussusception and celiac disease in adults. Dig Dis Sci. 2010;55(10):2899-903.
Hizal G, Gurakan F, Balamtekın N, Kizilkan UN. Celiac disease presenting with intestinal obstruction: report of two cases. Turk J Gastroenterol. 2012;23(4):416-7.
Ruoff M, Lindner AE, Marshak RH. Intussusception in sprue. Am J Roentgenol Radium Ther Nucl Med. 1968;104(3):525-8.
Germann R, Kuch M, Prinz K, Ebbing A, Schindera F. Celiac disease: an uncommon cause of recurrent intussusception. J Pediatr Gastroenterol Nutr. 1997;25(4):415-6.
Borkar VV, Poddar U, Thakral A, Agarwal J, Srivastava A, et al. Intussusception in celiac disease: Is it a common feature in children? J Gastroenterol Hepatol. 2018;33(2):380-4.
Ludvigsson JF, Nordenskjold A, Murray JA, Olen O. A large nationwide population-based case-control study of the association between intussusception and later celiac disease. BMC Gastroenterol. 2013;13:89.
Downloads
Published
How to Cite
Issue
Section
