Kapadia Bhautik, Vatukiya Sunil Karshanbhai
Department of Radiodiagnosis, Baroda Medical College and Hospital, Maharaja Sayajirao University, Vadodara, Gujarat, India.
Indian J Radiol Imaging. 2020 Jan-Mar;30(1):95-97. doi: 10.4103/ijri.IJRI_392_19. Epub 2020 Mar 30.
Intussusception is commonly associated with celiac disease in adults. However, it is rarely reported in children in radiology journals. Here, we report a case of a 3-year-old girl with celiac disease presented with complaints of intermittent abdominal pain, distension, and vomiting for 6 months. The patient was underweight (8.6 kg). Her X-ray of the abdomen standing revealed abnormal air-fluid levels and ultrasound of the abdomen revealed single small bowel intussusception. Contrast-enhanced CT abdomen done before planning surgery and it revealed five small bowel intussusceptions with few dilated small bowel loops. Her IgA antibodies to tissue transglutaminase were done to look for the cause of failure to thrive and its titer raised significantly. Gluten-free diet was started for her and symptoms were resolved within 7 days without surgical management.
肠套叠在成人中通常与乳糜泻相关。然而，在放射学杂志上儿童肠套叠的报道很少。在此，我们报告一例3岁患有乳糜泻的女孩，她主诉间歇性腹痛、腹胀及呕吐6个月。该患者体重不足（8.6千克）。她的腹部立位X线显示异常气液平面，腹部超声显示单发小肠套叠。在计划手术前行腹部增强CT检查，显示五个小肠套叠及少数扩张的小肠袢。检测她的抗组织转谷氨酰胺酶IgA抗体以寻找发育不良的原因，其滴度显著升高。开始为她采用无麸质饮食，症状在7天内得以缓解，无需手术治疗。
