Coeliac disease in an adult presenting as intussusception without a lead point.
A case of adult intussusception is presented in which previously undiagnosed coeliac disease was the cause. The diagnosis was made following microscopic examination of a resected segment of small intestine containing multiple intussusception sites. Adult intussusception is rare and in most cases associated with a 'lead point' lesion, often a tumour. As illustrated here, intussusception without a lead point in the adult patient may be the presenting sign of coeliac disease. Recognition of such may allow correct diagnosis and thus prevent unnecessary surgery.
Department of Anatomic Pathology and Cytology, Maisonneuve-Rosemont Hospital, Montreal, Canada.
Andrew
A
Mitchell
Françoise
F
Heyen
Serge
S
Dubé
D000328:Adult; D002446:Celiac Disease / Q000150:complications* / Q000175:diagnosis; D005260:Female; D006801:Humans; D007443:Intussusception / Q000209:etiology*; D007579:Jejunal Diseases / Q000209:etiology*