Download PDF
CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2020; 30(01): 95-97
DOI: 10.4103/ijri.IJRI_392_19
Case Report

Multiple small bowel intussusceptions as a feature of celiac disease

Bhautik Kapadia
Department of Radiodiagnosis, Baroda Medical College and Hospital, Maharaja Sayajirao University, Vadodara, Gujarat, India
,
Sunil Karshanbhai Vatukiya
Department of Radiodiagnosis, Baroda Medical College and Hospital, Maharaja Sayajirao University, Vadodara, Gujarat, India
› Author Affiliations Financial support and sponsorship Nil.
› Further Information
Also available at
   Permissions and Reprints

Abstract

Intussusception is commonly associated with celiac disease in adults. However, it is rarely reported in children in radiology journals. Here, we report a case of a 3-year-old girl with celiac disease presented with complaints of intermittent abdominal pain, distension, and vomiting for 6 months. The patient was underweight (8.6 kg). Her X-ray of the abdomen standing revealed abnormal air-fluid levels and ultrasound of the abdomen revealed single small bowel intussusception. Contrast-enhanced CT abdomen done before planning surgery and it revealed five small bowel intussusceptions with few dilated small bowel loops. Her IgA antibodies to tissue transglutaminase were done to look for the cause of failure to thrive and its titer raised significantly. Gluten-free diet was started for her and symptoms were resolved within 7 days without surgical management.

Keywords

Celiac disease - failure to thrive - multiple intussusception


Publication History

Received: 22 September 2019

Accepted: 28 January 2020

Article published online:
19 July 2021

© 2020. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 

  • References

  • 1 Reilly NR, Aguilar KM, Green PH. Should intussusception in children prompt screening for celiac disease. J Pediatr Gastroenterol Nutr 2013; 56: 56-9
    CrossrefPubMedSearch in Google Scholar
  • 2 Gheibi Shahsanam. Association between celiac disease and intussusceptions in children: Two case reports and literature review. Pediatr Gastroenterol Hepatol Nutr 2013; 16: 269-72
    CrossrefPubMedSearch in Google Scholar
  • 3 Hizal G, Gürakan F, Balamtekın N, Uslu Kizilkan N. Celiac disease presenting with intestinal obstruction: Report of two cases. Turk J Gastroenterol 2012; 23: 416-7
    CrossrefPubMedSearch in Google Scholar
  • 4 Borkar VV, Poddar U, Thakral A, Agarwal J, Srivastava A, Yachha SK. et al. Intussusception in celiac disease: Is it a common feature in children?. J Gastroenterol Hepatol 2018; 33: 380-4
    CrossrefPubMedSearch in Google Scholar
  • 5 Jain S, Haydel MJ. Child Intussusception. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020. Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK431078/. [Last updated on 2019 Feb 24].
    Search in Google Scholar