RESUMO
Celiac disease (CD) is an autoimmune malabsorption syndrome that presents with intolerance to gluten (gliadin), a protein found in wheat. The most common symptoms are diarrhea, steatorrhea, weight loss, weakness, vitamin and mineral deficiency. The probability of developing complicated CD is relatively low, among its main manifestations we have refractory sprue, T-cell lymphoma and ulcerative jejunitis (UY) of which a few cases develop gastrointestinal bleeding. Furthermore, we present the case of a 51-year-old patient who developed intestinal hemorrhage due to complicated CD, where upper digestive video endoscopy (VEDA), video colonoscopy (VCC), capsule endoscopy (CE) and biopsy of the jejunum and ileum were performed confirming the diagnosis of CD along with ulcerative jejunoileitis.
Assuntos
Doença Celíaca , Hemorragia Gastrointestinal , Humanos , Doença Celíaca/complicações , Doença Celíaca/diagnóstico , Pessoa de Meia-Idade , Hemorragia Gastrointestinal/etiologia , Hemorragia Gastrointestinal/diagnóstico , MasculinoRESUMO
RESUMEN La enfermedad celiaca (EC) es un síndrome malabsortivo autoinmune que se presenta con intolerancia al gluten (gliadina). Los síntomas más frecuentes son diarrea, esteatorrea, pérdida de peso, debilidad, deficiencia de vitaminas y minerales. La probabilidad de desarrollar una EC complicada es relativamente baja, entre las principales manifestaciones de la misma tenemos esprue refractario, el linfoma de células T y la yeyunoileitis ulcerativa (YU) de los cuales pocos casos debutan con hemorragia digestiva. A continuación, presentamos el caso de un paciente de 51 años de edad que debutó con hemorragia digestiva debido a EC complicada, en donde se realizó video endoscopía digestiva alta (VEDA), videocolonoscopia (VCC), cápsula endoscópica (CE), enteroscopia y biopsia de yeyuno e íleon confirmando el diagnóstico de EC y yeyunoileitis ulcerativa.
ABSTRACT Celiac disease (CD) is an autoimmune malabsorption syndrome that presents with intolerance to gluten (gliadin), a protein found in wheat. The most common symptoms are diarrhea, steatorrhea, weight loss, weakness, vitamin and mineral deficiency. The probability of developing complicated CD is relatively low, among its main manifestations we have refractory sprue, T-cell lymphoma and ulcerative jejunitis (UY) of which a few cases develop gastrointestinal bleeding. Furthermore, we present the case of a 51-year-old patient who developed intestinal hemorrhage due to complicated CD, where upper digestive video endoscopy (VEDA), video colonoscopy (VCC), capsule endoscopy (CE) and biopsy of the jejunum and ileum were performed confirming the diagnosis of CD along with ulcerative jejunoileitis.