Small bowel adenocarcinoma as first presentation of coeliac disease.
Coeliac disease is a chronic inflammatory disease of the gut with increased risk of gastrointestinal malignancy. Although enteropathy T-cell lymphoma is the most common neoplasm in coeliacs, an increased frequency of small bowel carcinoma has been described. A case is described of jejunal carcinoma as first presentation of coeliac disease, in which gastrointestinal and extraintestinal symptoms of disease developed only after surgical resection and disappeared after gluten withdrawal.
Artificial Nutrition Unit, S. Eugenio Hospital of Rome, Rome, Italy.
G M
GM
Giorgetti
A
A
Tursi
G
G
Brandimarte
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L
Anemona