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Transient small bowel intussusception in adults: an overlooked feature of coeliac disease
  1. James Henry Briggs1,
  2. David McKean1,
  3. Jonathan S Palmer2,
  4. Helen Bungay1
  1. 1Department of Radiology, Oxford University Hospitals NHS Trust, Oxford, UK
  2. 2Department of Surgery, Nuffield Orthopaedic Centre, Oxford, UK
  1. Correspondence to Dr David McKean, drdavidmckean{at}gmail.com

Summary

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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