Coeliac disease presenting with intestinal pseudo-obstruction.
A 22 year old woman presenting with recurrent intestinal pseudo-obstruction is reported. Jejunal biopsy showed subtotal villous atrophy which improved markedly during a period of total parenteral nutrition and with steroid treatment. It did not relapse on a gluten free diet. The reasons why this patient represents a case of coeliac disease with secondary pseudo-obstruction, rather than primary intestinal pseudo-obstruction with secondary bacterial overgrowth, is discussed.
D000328:Adult; D002446:Celiac Disease / Q000150:complications* / Q000473:pathology; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology*; D007418:Intestinal Pseudo-Obstruction / Q000209:etiology* / Q000473:pathology