Coeliac disease inducing mesenteric lymphadenopathy and intussusception.

摘要

A 5 2-year-old woman was referred to our hospital with a 4-week history of abdominal pain and diarrhoea. She reported both urgency and colicky abdominal pains, settling after defaecation. There was no evidence of rectal bleeding. Despite a normal appetite, she had lost 9 kg in weight. Prior to this episode she was fit and well, with no significant family history. Clinical examination was unremarkable. Initial blood tests showed iron deficiency anaemia. A colonoscopy revealed no abnormalities. Tissue transglutaminase antibody was positive; a computed tomography (CT) scan of her abdomen was performed. The CT scan revealed diffuse small bowel dilation. A rounded filling defect was noted (Fig. 1, arrow) with appearances suggestive of intussusception. As small bowel tumour was suspected, an urgent laparo-tomy was arranged, which showed dilated small bowel loops and mesenteric lymphadenopathy.