{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:56:00Z","timestamp":1753876560063,"version":"3.41.2"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Celiac disease is an immune-mediated inflammatory disease. Symptoms are divided into typical gastrointestinal manifestations and atypical non-gastrointestinal manifestations. However, the atypical manifestations, which account for the majority of the presenting manifestations among celiac disease patients, include abdominal pain, bloating, vitamin and mineral deficiency, chronic fatigue and osteoporosis, intra-abdominal adhesions as a complication of celiac disease has never been reported. In this case, we report a female patient presented with chronic abdominal pain and steatorrhea. Celiac disease was diagnosed by serological tests and a duodenal biopsy. After the exclusion of gynecological and other gastrointestinal etiologies of intra-abdominal adhesions, the relation was assumed by the resolution of the intra-abdominal adhesions symptoms and improvement of follow-up computed tomography scans after a gluten-free diet. Intra-abdominal adhesion is an end-stage result of multiple gastrointestinal (GIT) and non-GIT disorders as inflammatory bowel disease and endometriosis. Although an indirect relationship between endometriosis and celiac disease has been previously discussed in the literature, celiac disease alone has never been reported to be the direct cause of intra-abdominal adhesions. So, we recommend if the patient is suspected to have celiac disease and reported with diarrhea or any other intra-abdominal adhesion symptoms, both a colonoscopy and a laparoscopy should be mandated to approach such case.<\/jats:p>","DOI":"10.1093\/jscr\/rjaa351","type":"journal-article","created":{"date-parts":[[2020,8,6]],"date-time":"2020-08-06T19:19:40Z","timestamp":1596741580000},"source":"Crossref","is-referenced-by-count":0,"title":["Celiac disease with intra-abdominal adhesions in a 32-year-old female patient: a case report and literature review"],"prefix":"10.1093","volume":"2020","author":[{"given":"Sheref A","family":"Elseidy","sequence":"first","affiliation":[{"name":"Department of Internal Medicine and Cardiovascular Diseases, Ain Shams University, Cairo, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6647-1866","authenticated-orcid":false,"given":"Ahmed K","family":"Awad","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine and Cardiovascular Diseases, Ain Shams University, Cairo, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,10,26]]},"reference":[{"key":"2020102612104247500_ref1","doi-asserted-by":"crossref","first-page":"1538","DOI":"10.1038\/ajg.2012.219","article-title":"The prevalence of the celiac disease in the United States","volume":"107","author":"Rubio-Tapia","year":"2012","journal-title":"Am J Gastroenterol"},{"key":"2020102612104247500_ref2","doi-asserted-by":"crossref","first-page":"h4513","DOI":"10.1136\/bmj.h4513","article-title":"Recognition, assessment, and management of coeliac disease: summary of updated NICE guidance","volume":"351","author":"Downey","year":"2015","journal-title":"BMJ"},{"key":"2020102612104247500_ref3","first-page":"1317","article-title":"Autoantibodies to tissue transglutaminase as predictors of celiac disease","author":"Walburga Dieterich","year":"1998"},{"key":"2020102612104247500_ref4","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1007\/s11894-006-0023-7","article-title":"Extraintestinal manifestations of celiac disease","volume":"8","author":"Hernandez","year":"2006","journal-title":"Curr Gastroenterol Rep"},{"key":"2020102612104247500_ref5","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1097\/MPG.0000000000001420","article-title":"Extraintestinal manifestations of celiac disease: effectiveness of the gluten-free diet","volume":"65","author":"Jericho","year":"2017","journal-title":"J Pediatr Gastroenterol Nutr"},{"key":"2020102612104247500_ref6","doi-asserted-by":"crossref","first-page":"346","DOI":"10.12891\/ceog16842014","article-title":"Celiac disease and endometriosis: an insidious and worrisome association hard to diagnose: a case report","volume":"41","author":"Caserta","year":"2014","journal-title":"Clin Exp Obstet Gynecol"},{"key":"2020102612104247500_ref7","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/236821","article-title":"Looking for celiac disease in Italian women with endometriosis: a case control study","volume-title":"Biomed Res Int","author":"Luca Santoro","year":"2014"},{"key":"2020102612104247500_ref8","first-page":"769","article-title":"Intra-abdominal adhesions: definition, origin, significance in surgical practice, and treatment options","volume":"107","author":"Br\u00fcggmann","year":"2010","journal-title":"Dtsch Arztebl Int"},{"key":"2020102612104247500_ref9","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1016\/S0002-9610(73)80123-0","article-title":"Peritoneal adhesions and their relationship to abdominal surgery. A postmortem study","volume":"126","author":"Weibel","year":"1973","journal-title":"Am J Surg"},{"key":"2020102612104247500_ref10","doi-asserted-by":"crossref","first-page":"149","DOI":"10.4103\/0971-3026.134400","article-title":"Computed tomography and magnetic resonance imaging in the evaluation of pelvic peritoneal adhesions: what radiologists need to know?","volume":"24","author":"Ghonge","year":"2014","journal-title":"Indian J Radiol Imaging"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2020\/10\/rjaa351\/34028945\/rjaa351.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2020\/10\/rjaa351\/34028945\/rjaa351.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,11,6]],"date-time":"2022-11-06T01:17:38Z","timestamp":1667697458000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaa351\/5939564"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,1]]},"references-count":10,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2020,10,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaa351","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2020,10]]},"published":{"date-parts":[[2020,10,1]]},"article-number":"rjaa351"}}