Multiple Small Bowel Intussusceptions Detected by Diagnostic Laparoscopy in an Adult Patient with Previously Undiagnosed Coeliac Disease

  • Valon Saliu University Surgery Clinic “Sv. Naum Ohridski”, Skopje, North Macedonia
  • Cemal Ulusoy Prof. Dr. Cemil Taşçıoğlu Şehir Hastanesi, Istanbul, Turkey
  • Andrej Nikolovski University Surgery Clinic “Sv. Naum Ohridski”, Skopje, North Macedonia

Keywords

Celiac disease, intestine, intussusception, laparoscopy

Abstract

Enteric intussusception in adults is usually associated with the presence of a lead point seen on abdominal computerized tomography. However, as intussusception in coeliac disease may not have a lead point, a surgical procedure is often indicated in order to exclude small bowel tumour. We present the case of a male patient who presented with asymptomatic small bowel intussusception. During exploratory laparoscopy, five enteric intussusceptions were detected and a suspicion for coeliac disease was raised. Postoperative duodenal biopsy and CD3 immunohistochemical staining confirmed the diagnosis of coeliac disease, Marsh type 1.

VIEW THE ENTIRE ARTICLE

References

  • Gonda TA, Khan SUZ, Cheng J, Lewis SK, Rubin M, Green PHR. Association of intussusception and celiac disease in adults. Dig Dis Sci 2010;55(10):2899–2903. doi:10.1007/s10620-009-1086-8
  • Panzera F, Di Venere B, Rizzi M, Biscaglia A, Praticò CA, Nasti G, et al. Bowel intussusception in adult: prevalence, diagnostic tools and therapy. World J Methodol 2021;11(3):81–87. doi:10.5662/wjm.v11.i3.81
  • Hong KD, Kim J, Ji W, Wexner SD. Adult intussusception: a systematic review and meta-analysis. Tech Coloproctol 2019;23(4):315–324. doi:10.1007/s10151-019-01980-5
  • Zubaidi A, Al-Saif F, Silverman R. Adult intussusception: a retrospective review. Dis Colon Rectum 2006;49(10):1546–1551. doi:10.1007/s10350-006-0664-5
  • Renzulli P, Candinas D. Idiopathic small-bowel intussusception in an adult. CMAJ 2010;182(3):E148. doi:10.1503/cmaj.090457
  • Marinis A, Yiallourou A, Samanides L, Dafnios N, Anastasopoulos G, Vassiliou I, et al. Intussusception of the bowel in adults: a review. World J Gastroenterol 2009;15(4):407–411. doi:10.3748/wjg.15.407
  • Lee EH, Yang HR. Nationwide population-based epidemiologic study on childhood intussusception in South Korea: emphasis on treatment and outcomes. Pediatr Gastroenterol Hepatol Nutr 2020;23(4):329–345. doi:10.5223/pghn.2020.23.4.329
  • Hopper AD, Hadjivassiliou M, Butt S, Sanders DS. Adult coeliac disease. BMJ 2007;335(7619):558–562. doi:10.1136/bmj.39316.442338.AD
  • Green PHR. The role of endoscopy in the diagnosis of celiac disease. Gastroenterol Hepatol (N Y) 2014;10(8):522–524.
  • Boschee E, Lacson A, Turner J, Yap J. Duodenal bulb histology in paediatric celiac disease: a case-control study. J Can Assoc Gastroenterol 2020;3(5):210–215. doi:10.1093/jcag/gwz014
  • Mubarak A, Wolters VM, Houwen RH, ten Kate FJ. Immunohistochemical CD3 staining detects additional patients with celiac disease. World J Gastroenterol 2015;21(24):7553–7557. doi:10.3748/wjg.v21.i24.7553
  • Tomei E, Diacinti D, Marini M, Mastropasqua M, Di Tola M, Sabbatella L, et al. Abdominal CT findings may suggest coeliac disease. Dig Liver Dis 2005;37(6):402–406. doi:10.1016/j.dld.2004.10.016
  • Published: 2022-06-16

    Issue: 2022: Vol 9 No 6 (view)

    Section: Articles

    How to cite:
    1.
    Saliu V, Ulusoy C, Nikolovski A. Multiple Small Bowel Intussusceptions Detected by Diagnostic Laparoscopy in an Adult Patient with Previously Undiagnosed Coeliac Disease. EJCRIM 2022;9 doi:10.12890/2022_003391.