[Acute bowel intussusception revealing celiac disease: a new case and literature review].

Abstract

INTRODUCTION:

Acute bowel intussusception is a rare manifestation in adult, which mainly involves the small intestine. Celiac disease is a frequent small bowel disease that is largely undiagnosed in adults. We report a patient in whom spontaneously regressive small bowel intussusception was the presenting manifestation of celiac disease.

CASE REPORT:

A 40-year-old man was admitted for a right-sided iliac abdominal pain related to a small bowel intussusception. Laparotomy ruled out a digestive tumor. Persistence of diffuse abdominal pain associated with progressive and unexplained weight loss for several months led to the diagnosis of celiac disease, which was confirmed by the presence of specific serum autoantibodies and histological duodenal villous atrophy.

CONCLUSION:

The association between small bowel intussusception and celiac disease does not seem to be fortuitous. Based on this report and the literature review, we suggest that celiac disease can favour small bowel intussusception, even in adulthood. Therefore, diagnosis of celiac disease must be discussed in the presence of unexplained intussusception.

• Authors: A Grados, F Bernard, B Coquet-Reinier, P Rossi, D Bagneres, A-L Demoux, S Marciano, Y Frances, B Granel
• Journal: La Revue de medecine interne (Rev Med Interne) Vol. 32 Issue 10 Pg. 628-32 (Oct 2011) ISSN: 1768-3122 [Electronic] France
• Vernacular Title: Invagination intestinale aiguë révélant une maladie cœliaque : à propos d'un cas et revue de la littérature.
• PMID: 21592630 (Publication Type: Case Reports, English Abstract, Journal Article, Review)
• Copyright: Copyright © 2011 Société nationale française de médecine interne (SNFMI). Published by Elsevier SAS. All rights reserved.

Topics

• Adult
• Celiac Disease (diagnosis)
• Humans
• Ileal Diseases (etiology)
• Intussusception (etiology)
• Male