Invaginación intestinal en adultos como manifestación de enfermedad celíaca: Caso clínico

• RODRIGO QUERA ^[1] ; CLAUDIO HEINE T ^[2] ; ANDRÉS O’BRIEN ^[1] ; LUIS CONTRERAS ^[1]
  1. [1] Clínica Las Condes

     Clínica Las Condes

     Santiago, Chile

     
  2. [2] Hospital del Salvador

     Hospital del Salvador

     Santiago, Chile

     
• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 138, Nº. 10, 2010, págs. 1276-1280
• Idioma: español
• Títulos paralelos:
  • Celiac disease presenting as an intestinal intussusception: Report of one case
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• Resumen

  • Acute abdominal pain caused by perforation, intestinal lymphoma or intussusception is an uncommon manifestation in adult celiac disease. We report a 49 year-old female with history of irritable bowel syndrome and osteoporosis consulting for acute abdominal pain and severe abdominal distention. Abdominal CT scan and magnetic resonance imaging showed a jejunal intussusception and other radiological alterations that suggested the possibility of celiac disease. Serological antibodies (endomysial and transglutaminase antibodies), endoscopy and the pathological study of duodenal biopsies confirmed the diagnosis. With a gluten free diet, the patient remains asymptomatic.