Frontiers in Medicine (Dec 2020)

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

  • Richa Chibbar,
  • Richa Chibbar,
  • Jordan Nostedt,
  • Dana Mihalicz,
  • Jean Deschenes,
  • Ross McLean,
  • Levinus A. Dieleman

DOI
https://doi.org/10.3389/fmed.2020.564875
Journal volume & issue
Vol. 7

Abstract

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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.

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