Refractory Celiac Disease Type II: A Case Report and Literature Review

被引:8
|
作者
Chibbar, Richa [1 ,2 ]
Nostedt, Jordan [3 ]
Mihalicz, Dana [3 ]
Deschenes, Jean [4 ]
McLean, Ross [5 ]
Dieleman, Levinus A. [1 ]
机构
[1] Univ Alberta, Dept Med, Div Gastroenterol, Edmonton, AB, Canada
[2] Beth Israel Deaconess Med Ctr, Dept Med, Div Gastro, Boston, MA 02215 USA
[3] Univ Alberta, Div Gen Surg, Dept Surg, Edmonton, AB, Canada
[4] Univ Alberta, Dept Lab Med & Pathol, Cross Canc Inst, Edmonton, AB, Canada
[5] Univ Alberta, Royal Alexandra Hosp, Dept Lab Med, Edmonton, AB, Canada
关键词
refractory celiac disease; EATL; ulcerative jejunitis; sigmoid perforation; immunophenotyping; STEM-CELL TRANSPLANTATION; THERAPY; SPRUE; BUDESONIDE; INFLIXIMAB; SURVIVAL; AZATHIOPRINE; MANAGEMENT; LYMPHOMA; PATIENT;
D O I
10.3389/fmed.2020.564875
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We present an unusual case of 68-year-old male, who presented with acute abdomen, ulcerative jejunitis with perforation, and 2 months later with perforation of the sigmoid colon. We will also discuss difficulties in the delay in diagnosis of refractory celiac disease (RCD), specifically the atypical presentation, multiple surgeries, the consecutive failure of distinct therapeutic options, and multiple complications that occurred within the 3 months since first presentation.
引用
收藏
页数:7
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