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首页> 外文期刊>Sao Paulo Medical Journal >A rare association of intussusception and celiac disease in a child
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A rare association of intussusception and celiac disease in a child

机译：小儿肠套叠与乳糜泻的罕见关联

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CONTEXT: Intussusception is a common cause of acute intestinal obstruction in the pediatric population and it is normally idiopathic. Rare cases of chronic intussusception require investigation with greater attention. CASE REPORT: We present a clinical case of a three-year-old boy with aqueous diarrhea, abdominal distension, vomiting and weight loss over a two-month period. During the investigation, abdominal ultrasound showed imaging of intussusception. The intraoperative findings showed the intussusception had resolved spontaneously. In further investigation, it was found that the diarrhea was malabsorptive and, after the patient underwent upper gastrointestinal endoscopy, a diagnosis of celiac disease was made. After a gluten-free diet was introduced, the patient showed complete remission of symptoms and regained weight, and normal growth was reestablished. CONCLUSION: If the clinical presentation of intussusception is unusual, etiological investigation should be undertaken. In this case report, celiac disease was the underlying cause.
机译：背景：肠套叠是小儿急性肠梗阻的常见原因，通常是特发性的。罕见的慢性肠套叠病例需要进一步关注。病例报告：我们提供了一个三岁男孩的临床病例，该男孩在两个月的时间内出现腹水性腹泻，腹胀，呕吐和体重减轻。在调查过程中，腹部超声检查显示了肠套叠的影像。术中发现肠套叠自发消退。在进一步的调查中，发现腹泻是吸收不良的，在患者接受上消化道内窥镜检查后，诊断为腹腔疾病。引入无麸质饮食后，患者表现出症状完全缓解和体重增加，并且恢复了正常生长。结论：如果肠套叠的临床表现不正常，应进行病因学调查。在此病例报告中，腹腔疾病是根本原因。

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