A rare association of intussusception and celiac disease in a child

ABSTRACT: CONTEXT: Intussusception is a common cause of acute intestinal obstruction in the pediatric population and it is normally idiopathic. Rare cases of chronic intussusception require investigation with greater attention. CASE REPORT: We present a clinical case of a three-year-old boy with aqueous diarrhea, abdominal distension, vomiting and weight loss over a two-month period. During the investigation, abdominal ultrasound showed imaging of intussusception. The intraoperative findings showed the intussusception had resolved spontaneously. In further investigation, it was found that the diarrhea was malabsorptive and, after the patient underwent upper gastrointestinal endoscopy, a diagnosis of celiac disease was made. After a gluten-free diet was introduced, the patient showed complete remission of symptoms and regained weight, and normal growth was reestablished. CONCLUSION: If the clinical presentation of intussusception is unusual, etiological investigation should be undertaken. In this case report, celiac disease was the underlying cause.

Saved in:
Bibliographic Details
Main Authors: Fernandes,Vanessa Pacini Inaba, Lomazi,Elizete Aparecida, Bellomo-Brandão,Maria Angela
Format: Digital revista
Language:English
Published: Associação Paulista de Medicina - APM 2016
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802016000500457
Tags: Add Tag
No Tags, Be the first to tag this record!
id oai:scielo:S1516-31802016000500457
record_format ojs
spelling oai:scielo:S1516-318020160005004572016-11-21A rare association of intussusception and celiac disease in a childFernandes,Vanessa Pacini InabaLomazi,Elizete AparecidaBellomo-Brandão,Maria Angela Child Intussusception Celiac disease Diarrhea Gluten-free diet ABSTRACT: CONTEXT: Intussusception is a common cause of acute intestinal obstruction in the pediatric population and it is normally idiopathic. Rare cases of chronic intussusception require investigation with greater attention. CASE REPORT: We present a clinical case of a three-year-old boy with aqueous diarrhea, abdominal distension, vomiting and weight loss over a two-month period. During the investigation, abdominal ultrasound showed imaging of intussusception. The intraoperative findings showed the intussusception had resolved spontaneously. In further investigation, it was found that the diarrhea was malabsorptive and, after the patient underwent upper gastrointestinal endoscopy, a diagnosis of celiac disease was made. After a gluten-free diet was introduced, the patient showed complete remission of symptoms and regained weight, and normal growth was reestablished. CONCLUSION: If the clinical presentation of intussusception is unusual, etiological investigation should be undertaken. In this case report, celiac disease was the underlying cause.info:eu-repo/semantics/openAccessAssociação Paulista de Medicina - APMSao Paulo Medical Journal v.134 n.5 20162016-10-01info:eu-repo/semantics/reporttext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802016000500457en10.1590/1516-3180.2016.0092220616
institution SCIELO
collection OJS
country Brasil
countrycode BR
component Revista
access En linea
databasecode rev-scielo-br
tag revista
region America del Sur
libraryname SciELO
language English
format Digital
author Fernandes,Vanessa Pacini Inaba
Lomazi,Elizete Aparecida
Bellomo-Brandão,Maria Angela
spellingShingle Fernandes,Vanessa Pacini Inaba
Lomazi,Elizete Aparecida
Bellomo-Brandão,Maria Angela
A rare association of intussusception and celiac disease in a child
author_facet Fernandes,Vanessa Pacini Inaba
Lomazi,Elizete Aparecida
Bellomo-Brandão,Maria Angela
author_sort Fernandes,Vanessa Pacini Inaba
title A rare association of intussusception and celiac disease in a child
title_short A rare association of intussusception and celiac disease in a child
title_full A rare association of intussusception and celiac disease in a child
title_fullStr A rare association of intussusception and celiac disease in a child
title_full_unstemmed A rare association of intussusception and celiac disease in a child
title_sort rare association of intussusception and celiac disease in a child
description ABSTRACT: CONTEXT: Intussusception is a common cause of acute intestinal obstruction in the pediatric population and it is normally idiopathic. Rare cases of chronic intussusception require investigation with greater attention. CASE REPORT: We present a clinical case of a three-year-old boy with aqueous diarrhea, abdominal distension, vomiting and weight loss over a two-month period. During the investigation, abdominal ultrasound showed imaging of intussusception. The intraoperative findings showed the intussusception had resolved spontaneously. In further investigation, it was found that the diarrhea was malabsorptive and, after the patient underwent upper gastrointestinal endoscopy, a diagnosis of celiac disease was made. After a gluten-free diet was introduced, the patient showed complete remission of symptoms and regained weight, and normal growth was reestablished. CONCLUSION: If the clinical presentation of intussusception is unusual, etiological investigation should be undertaken. In this case report, celiac disease was the underlying cause.
publisher Associação Paulista de Medicina - APM
publishDate 2016
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802016000500457
work_keys_str_mv AT fernandesvanessapaciniinaba arareassociationofintussusceptionandceliacdiseaseinachild
AT lomazielizeteaparecida arareassociationofintussusceptionandceliacdiseaseinachild
AT bellomobrandaomariaangela arareassociationofintussusceptionandceliacdiseaseinachild
AT fernandesvanessapaciniinaba rareassociationofintussusceptionandceliacdiseaseinachild
AT lomazielizeteaparecida rareassociationofintussusceptionandceliacdiseaseinachild
AT bellomobrandaomariaangela rareassociationofintussusceptionandceliacdiseaseinachild
_version_ 1756421641542303744