Presentation
3 months, with diarrhea, small bowel distension.
Patient Data
Thickened small bowel wall.
Dilated small bowel loops and increased fluid content.
Enlarged mesenteric lymph nodes.
Endoscopic biopsy revealed celiac disease.
Case Discussion
Celiac disease is an autoimmune-based multisystem disease caused by gluten and related prolamins in genetically susceptible individuals. The most common symptoms are: weight loss, loss of appetite, fatigue, nausea, vomiting, diarrhea, bloating, loss of muscle mass, growth retardation, character changes (irritability, apathy, introversion, sadness), abdominal pain, bloating, iron deficiency anemia resistant to treatment.
Ultrasound features include:
fasting gallbladder volume greater than 20 mL
thickness of the wall of the small intestine greater than 3 mm
intense and frequent fasting peristalsis
presence of free fluid between the intestinal loops
mesenteric lymphoid nodules longer than 5 mm
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