title: [Acute abdomen in endemic sprue--a rare complication].
abstract: BACKGROUND
  The celiac sprue, a small intestinal disease usually becoming apparent by a malabsorption syndrome, is caused by gluten respectively gliadin intolerance which leads to intestinal mucosal damage finally resulting in complete villous atrophy.
  
  
  METHODS
  A propos of the case of a 60-year old woman with an uneventful course of celiac sprue of many years we report about a rare complication of this disease. Investigating recurrent attacks of abdominal pain a barium contrast examination revealed an intestinal stenosis which clinically resulted in an acute abdomen finally requiring surgery. Histologically a chronic ulcerative jejunoileitis was found. The main differential diagnosis is a malignant intestinal lymphoma, this however couldn't be found. Regarding this differential diagnosis surgical removal of the diseased parts of the bowel is the therapy of choice. Because of the possible transition from ulcerative jejunoileitis to intestinal lymphoma a postoperative close follow-up is recommended.
authors.affiliation: Medizinische Klinik I, Klinikums Kreis Herford.
authors.forename: B
authors.initials: B
authors.lastname: Koberstein
authors.forename: J
authors.initials: J
authors.lastname: Wedell
authors.forename: K
authors.initials: K
authors.lastname: Balzer
mesh_terms: D000006:Abdomen, Acute / Q000209:etiology* / Q000473:pathology; D002446:Celiac Disease / Q000175:diagnosis* / Q000473:pathology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007079:Ileitis / Q000175:diagnosis / Q000473:pathology; D007082:Ileum / Q000473:pathology; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000473:pathology; D007579:Jejunal Diseases / Q000175:diagnosis / Q000473:pathology; D007583:Jejunum / Q000473:pathology; D008875:Middle Aged; D014456:Ulcer / Q000175:diagnosis / Q000473:pathology
vernacular_title: Akutes Abdomen bei einheimischer Sprue--eine seltene Komplikation.