perinatologyРоссийский вестник перинатологии и педиатрииRossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics)1027-40652500-2228Ltd. “The National Academy of Pediatric Science and Innovation”10.21508/1027-4065-2018-63-5-188-191perinatology-748Research ArticleСЛУЧАЙ ИЗ ПРАКТИКИCASE REPORTSХИРУРГИЧЕСКИЕ АСПЕКТЫ ЦЕЛИАКИИSURGICAL ASPECTS OF CELIAC DISEASEhttps://orcid.org/0000-0001-9975-3632ШакироваА. Р.ShakirovaA. R.

заведующая педиатрическим отделением №5; асс. кафедры педиатрии с курсом поликлинической педиатрии.

420012 Казань, ул. Муштари, д.11.

https://orcid.org/0000-0002-2957-680XКамаловаА. А.KamalovaA. A.

д.м.н., проф. кафедры госпитальной педиатрии с курсом поликлинической педиатрии.

420012 Казань, ул. Бутлерова, д. 49.

ЯфясовР. А.YafasovR. Ya.

к.м.н.,  зав.  хирургическим  отделением.

НизамоваР. А.NizamovaR. A.

зав. диагностическим отделением, врач-педиатр, гастроэнтеролог.

420011 Казань, ул. Оренбургский тракт, д. 140.

ГАУЗ «Детская республиканская клиническая больница» Минздрава Республики Татарстан; Казанская государственная медицинская академия – филиал ФГОУ ДПО РМАНПО Минздрава России.РоссияChildren’s Republican Clinical Hospital of Tatarstan Republic; Kazan State Medical Academy – branch of the Russian Medical Academy of Post-Graduate Education.Russian FederationФГБОУ ВО «Казанский государственный медицинский университет» Минздрава РФ.РоссияKazan State Medical University.Russian FederationГАУЗ «Детская республиканская клиническая больница» Минздрава Республики Татарстан.РоссияChildren’s Republican Clinical Hospital of Tatarstan Republic.Russian Federation201820112018635188191Copyright © Ltd. “The National Academy of Pediatric Science and Innovation”, 20182018Ltd. “The National Academy of Pediatric Science and Innovation”Ltd. “The National Academy of Pediatric Science and Innovation”https://www.ped-perinatology.ru/jour/about/submissions#copyrightNoticehttps://www.ped-perinatology.ru/jour/article/view/748

В доступной литературе имеются публикации, касающиеся ассоциации целиакии с инвагинацией и кишечной непроходимостью у взрослых. Хотя инвагинация является наиболее распространенной причиной непроходимости кишечника у детей, она редко рассматривается в связи с целиакией. Представлены клинические случаи редкой манифестации целиакии острой хирургической патологией – острой кишечной непроходимостью, обусловленной инвагинацией кишечника, и обтурационной непроходимостью кишечника. Дети с инвагинацией без установленной этиологии должны быть обследованы на предмет целиакии, особенно когда у них имеются соответствующие симптомы – замедление роста, анемия, вздутие живота, увеличение уровня трансаминаз и другие проявления целиакии, а также, если возраст ребенка не совсем характерен для манифестации инвагинации.

There are publications on the association of celiac disease with intussusception and intestinal obstruction in adults. Although intussusception is the most common cause of intestinal obstruction in children, it is rarely considered in association with celiac disease. The article presents clinical cases of a rare manifestation of celiac disease with acute surgical pathology – acute intestinal obstruction due to the intestinal intussusception and obstruction. Children with intussusception with non-established etiology should be examined for celiac disease, especially when they have the appropriate symptoms – growth retardation, anemia, bloating, increased transaminase levels and other manifestations of celiac disease, and in case the child’s age is not entirely characteristic of the intussusception.

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The authors declare that there are no conflicts of interest present.