Albayrak, Fatih Ataturk University School of Medicine - Faculty of Medicine - Department of Internal Medicine, Turkey , Dursun, Hakan Atatürk University - Faculty of Medicine - Department of Internal Medicine, TURKEY , Albayrak, Yavuz Erzurum Training and Research Hospital - Department of General Surgery and Burn Unit, Turkey , Cerrah, Serkan Atatürk University - Faculty of Medicine - Department of Internal Medicine, TURKEY

Acute colonic pseudo-obstruction as a rare complication in an elderly celiac patient: A case report

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Celiac disease is a common disorder not only in the young but also in the elderly. Different complications may be observed in elderly patients who have had celiac disease for a long time. We report a case of Ogilvie s syndrome (acute colonic pseudo-obstruction (ACPO)) seen as a complication of celiac disease in an elderly patient. A 69-year-old woman presented with a 1-week history of gradually increasing abdominal distension and obstipation. She had been diagnosed as celiac disease approximately 35 years ago, and had been on a gluten-free diet since then. Her serum calcium was 6.7 mg/dL. She was treated with hydration and calcium repletion. We think that her long duration of celiac disease which is approximately 35 years and the intermittent diet inconsistencies due to this long duration may have contributed to the development of ACPO. Therefore, in elderly patients who have had celiac disease for a long time, ACPO may develop with an electrolyte imbalance. An early diagnosis of ACPO will minimize the rates of mortality and morbidity.

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Celiac disease , acute colonic pseudo , obstruction , electrolyte imbalance

Cumhuriyet Medical Journal

380