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Case Reports
. 2014 Jun 20:2014:bcr2013203156.
doi: 10.1136/bcr-2013-203156.

Transient small bowel intussusception in adults: an overlooked feature of coeliac disease

James Henry Briggs  1 , David McKean  1 , Jonathan S Palmer  2 , Helen Bungay  1
Affiliations
Case Reports

Transient small bowel intussusception in adults: an overlooked feature of coeliac disease

James Henry Briggs et al. BMJ Case Rep. .

Abstract

Coeliac disease is the commonest immunological gastrointestinal disorder in the Western world. The symptoms of coeliac disease in adults are often non-specific, and a high index of suspicion may be required for timely diagnosis. We describe the case of a 46-year-old woman, with known dilated cardiomyopathy and pulmonary hypertension, who presented with non-specific abdominal symptoms, not initially attributed to gastrointestinal disease. Radiological investigations demonstrated transient small bowel intussusception without other abnormality, leading to the suggestion of coeliac disease as a cause, which was subsequently confirmed as the diagnosis.

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Figures

Figure 1
Figure 1
Contrast-enhanced CT scan demonstrating a target-like lesion of intussusception (indicated by the white arrow).
Figure 2
Figure 2
Image from small bowel enema series demonstrates an area of invagination of the bowel wall (white arrow), resulting in transient intussusception.
Figure 3
Figure 3
Image from small bowel enema demonstrating increased mucosal folds.
See this image and copyright information in PMC

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