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CASE REPORT
Year : 2019  |  Volume : 7  |  Issue : 4  |  Page : 163-166

Multiple wandering jejunal intussusceptions in an adult patient with celiac disease: Atypical presentation


1 Department of Gastroenterology and Endoscopy, Armed Forces Hospital Southern Region, Khamis Mushayt, Saudi Arabia
2 Department of Radiology, Armed Forces Hospital Southern Region, Khamis Mushayt, Saudi Arabia
3 Department of General Surgery, Armed Forces Hospital Southern Region, Khamis Mushayt, Saudi Arabia
4 Department of Internal Medicine, Armed Forces Hospital Southern Region, Khamis Mushayt, Saudi Arabia
5 Family Medicine Primary Health Care, Ministry of Health, Abha, Saudi Arabia

Correspondence Address:
Abdullah Mohammed Albishi
Department of Gastroenterology and Endoscopy, Armed Forces Hospital Southern Region, Khamis Mushayt
Saudi Arabia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ssj.ssj_18_19

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Intussusception is a rare presentation of celiac disease. In this report, we describe the condition of a 28-year-old Saudi male known case of brucellosis diagnosed and treated 10 months ago. The patient presented to the hospital complaining of diffuse intermittent dull abdominal pain with mild abdominal distention for 1-month duration, which starts gradually with progressive course. Patient also was given history of generalized fatigability for the same duration. These symptoms were associated with a weight loss about 10 kg in the last 6 months. Abdominal examination revealed soft and lax abdomen with mild tenderness at epigastria area. Computed tomography (CT) abdomen showed jejunal loop intussusceptions with diffuse jejunal wall thickening. Gastroscopy was done and showed fissuring of duodenal folds. Biopsy report came later as duodenal villa atrophy with increased intraepithelial lymphocytosis. The patient diagnosed as celiac disease. After establishing the diagnosis, dietary advice was given and he was discharged for outpatient department follow-up. Currently, the patient remains well and repeat CT scan showed persistence of multiple intussusceptions, though at different sites of the jejunum.


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