title: Celiac disease presenting as recurrent pancreatitis and pseudocyst.
abstract: BACKGROUND
  The association between celiac disease and pancreatitis is sparsely reported. Celiac disease may remain asymptomatic or may have atypical features, and its diagnosis in pancreatitis may not be obvious. It is more than mere chance association that explains the occurrence of pancreatitis in celiac disease. Malnutrition, papillary stenosis and immunopathogenetic mechanisms contribute to the development of pancreatitis in a patient of celiac disease.
  
  
  METHODS
  We here report one such case that had recurrent acute pancreatitis with pseudocyst formation and negative routine etiological work up. It was on noticing abnormal duodenal mucosa at the time of doing endoscopic cystogastrostomy that the diagnosis of celiac disease was suspected and later proved.
  
  
  CONCLUSIONS
  This report highlights that celiac disease should be considered in the etiological work up of patients with unexplained pancreatitis.
authors.affiliation: Department of Gastroenterology, PGIMER, Chandigarh, India.
authors.forename: Jahangeer
authors.initials: J
authors.lastname: Basha
authors.forename: Sreekanth
authors.initials: S
authors.lastname: Appasani
authors.forename: Kim
authors.initials: K
authors.lastname: Vaiphei
authors.forename: Kartar
authors.initials: K
authors.lastname: Singh
authors.forename: Rakesh
authors.initials: R
authors.lastname: Kochhar
mesh_terms: D000208:Acute Disease; D002446:Celiac Disease / Q000150:complications / Q000175:diagnosis*; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D010192:Pancreatic Pseudocyst / Q000175:diagnosis* / Q000209:etiology; D010195:Pancreatitis / Q000175:diagnosis* / Q000209:etiology; D012008:Recurrence; D055815:Young Adult