Should Intussusception in Children Prompt Screening for Celiac Disease?

Reilly, Norelle R.; Aguilar, Kathleen M.; Green, Peter H.

doi:10.1097/mpg.0b013e31826a1099

Cited by 36 publications

(44 citation statements)

References 30 publications

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“…The association between acute bowel intussusception and CD has been often described in children [17][18][19]. Instead, intussusception as the presenting symptom of pediatric CD has been rarely reported [20]. A small bowel intussusception was detected by ultrasound in our patient, lasting for two days and being self limited.…”

Section: Discussionmentioning

confidence: 57%

Celiac disease in toddler with atypical onset. Case report.

et al. 2016

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Celiac disease is a chronic immune-mediated disorder induced in genetically susceptible individuals after ingestion of gluten proteins. An early diagnosis is of highest importance. Ultrasound might show small-bowel intussusception. We present a toddler with one month history of diarrhea and abdominal ultrasound showing ileo-ileal intussusception. Specific serological markers for celiac disease were positive. The duodenal endoscopy showed normal architecture but pathology indicated fully developed celiac disease (Marsh 3c). In conclusion, toddlers, who have even a short history of diarrhea with ultrasound showing ileo-ileal intussusception, can be suspected of celiac disease by positive serologic markers and can be confirmed by duodenal biopsy and pathology.

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Section: Discussionmentioning

confidence: 57%

Celiac disease in toddler with atypical onset. Case report.

et al. 2016

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“…[1][2][3][4] It is the most common cause of intestinal obstruction at pediatric ages and needs prompt intervention, which may be surgical or nonsurgical.…”

Section: Discussionmentioning

confidence: 99%

A rare association of intussusception and celiac disease in a child

2016

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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.RESUMO CONTEXTO: Intussuscepção é uma causa frequente de obstrução intestinal aguda em pacientes pediátricos, e geralmente é idiopática. Raros casos de intussuscepção crônica devem ser investigados com maior atenção. RELATO DE CASO: Apresentaremos um caso clínico de um menino de três anos com diarreia aquosa, distensão abdominal, vômito e perda de peso por dois meses, cuja investigação por ultrassonografia abdominal revelou imagem de intussuscepção. Os achados intraoperatórios mostraram que a intussuscepção havia se resolvido espontaneamente. Em investigação subsequente, foi identificado que a diarreia era malabsortiva e, após a realização de endoscopia digestiva alta, foi feito diagnóstico de doença celíaca. Foi iniciada dieta com restrição de glúten e o paciente teve remissão completa dos sintomas, recuperou peso e o crescimento foi restabelecido. CONCLUSÃO: Caso a apresentação clínica de intussuscepção não seja a habitual, deve-se prosseguir a investigação etiológica. No caso clínico apresentado, doença celíaca foi a causa subjacente.I MD, MSc. Attending Physician,

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“…Bununla birlikte son yıllarda invajinasyonunun tedavi uygulanmayan çölyak olgularında hastalığın nadir bir klinik bulgusu olarak görüldüğü bildirilmektedir (3). Çölyak hastalığı ile invajinasyon birlikteliği ilk kez 1968 yılında erişkin çölyaklı bir olguda tanımla-nırken (4), çocuklarda çölyak ile invajinasyon birlikteliği az sayıda olguda bildirilmiştir (5-10).…”

Section: Introductionunclassified

A Rare Symptom of Celiac Disease: Invagination

Urgancı¹,

Polat²,

Yılmaz³

2018

JAREM

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ÖZÇölyak ve invajinasyon birlikteliği erişkinlerde görülmekle birlikte literatürde az sayıda çocuk olguda bildirilmiştir. Bu olgu ile çocukluk çağında invajinasyon ve çölyak birlikteliğini tartışmak istedik.Anahtar kelimeler: Çölyak hastalığı, invajinasyon, çocukluk çağı ABSTRACT Association between celiac disease and invagination is common in adults, but there are few cases have been reported in pediatric patients as well. In this case we would like to discuss the correlation between celiac disease and invagination.

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Should Intussusception in Children Prompt Screening for Celiac Disease?

Abstract: IS was far more common among children in our cohort with untreated CD than in the general pediatric population simultaneously seen at our center. The diagnosis of CD should be considered in children with IS, even in the absence of signs of nutritional compromise.

Cited by 36 publications

References 30 publications

Celiac disease in toddler with atypical onset. Case report.

Celiac disease in toddler with atypical onset. Case report.

A rare association of intussusception and celiac disease in a child

A Rare Symptom of Celiac Disease: Invagination

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