Multiple wandering jejunal intussusceptions in an adult patient with celiac disease: Atypical presentation
| Autor: | Mohammed Tagelsir Elmaki, Nasser Ibraheem Alqahtani, M Ezzedien Rabie, Bushra Mofreh Asiri, Mohamed F. Bazeed, Mubarak Alshahrani, Rafaat Chakik, Abdullah Mohammed Albishi, Yahia Atiah Alhagawi |
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| Rok vydání: | 2019 |
| Předmět: |
Abdominal pain
medicine.medical_specialty medicine.diagnostic_test business.industry medicine.disease Coeliac disease medicine.anatomical_structure Atrophy Intussusception (medical disorder) Abdominal examination Biopsy medicine Abdomen Outpatient clinic Radiology Geriatrics and Gerontology medicine.symptom business |
| Zdroj: | Saudi Surgical Journal. 7:163 |
| ISSN: | 2320-3846 |
| DOI: | 10.4103/ssj.ssj_18_19 |
| Popis: | Intussusception is a rare presentation of celiac disease. In this report, we describe the condition of a 28-year-old Saudi male known case of brucellosis diagnosed and treated 10 months ago. The patient presented to the hospital complaining of diffuse intermittent dull abdominal pain with mild abdominal distention for 1-month duration, which starts gradually with progressive course. Patient also was given history of generalized fatigability for the same duration. These symptoms were associated with a weight loss about 10 kg in the last 6 months. Abdominal examination revealed soft and lax abdomen with mild tenderness at epigastria area. Computed tomography (CT) abdomen showed jejunal loop intussusceptions with diffuse jejunal wall thickening. Gastroscopy was done and showed fissuring of duodenal folds. Biopsy report came later as duodenal villa atrophy with increased intraepithelial lymphocytosis. The patient diagnosed as celiac disease. After establishing the diagnosis, dietary advice was given and he was discharged for outpatient department follow-up. Currently, the patient remains well and repeat CT scan showed persistence of multiple intussusceptions, though at different sites of the jejunum. |
| Databáze: | OpenAIRE |
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