Association between Celiac Disease and Intussusceptions in Children: Two Case Reports and Literature Review
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Association between celiac disease and intussusception has been reported in adult. Although intussusception is com-mon in children, it rarely has been reported in association with celiac disease. Two children, 5 and 7 years old, with celiac disease are reported here, whose initial presentation was intussusception prior to investigation for concomitant failure to thrive. They presented with acute and severe abdominal distention with vomiting, and donuts and pseu-do-kidney appearance in abdominal ultrasonography. One patient’s intussusception had reducted spontaneously, however the other had required surgery. In investigation for concomitant failure to thrive, tissue transglutaminase levels were very high and duodenal biopsies revealed celiac disease. Thus celiac testing is recommended in children with intussusception and growth failure.
Abstract
Association between celiac disease and intussusception has been reported in adult. Although intussusception is com-mon in children, it rarely has been reported in association with celiac disease. Two children, 5 and 7 years old, with celiac disease are reported here, whose initial presentation was intussusception prior to investigation for concomitant failure to thrive. They presented with acute and severe abdominal distention with vomiting, and donuts and pseu-do-kidney appearance in abdominal ultrasonography. One patient’s intussusception had reducted spontaneously, however the other had required surgery. In investigation for concomitant failure to thrive, tissue transglutaminase levels were very high and duodenal biopsies revealed celiac disease. Thus celiac testing is recommended in children with intussusception and growth failure.
참고문헌 (15)
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