Complete section of duodeno-jejunal loop due to adenocarcinoma associated with celiac disease

Abstract

Celiac disease is a systemic autoimmune disorder caused by diet gluten in genetically susceptible individuals. The treatment is a gluten-free diet; even so, in some patients the response is poor and they progress with persistence or recurrence of symptoms, and a lower percentage manifests rare  complications such as neoplasia. Adenocarcinoma is the most common malignant small bowel tumor after lymphoma in patients with celiac disease. We describe the case of an acute abdomen due to a complete duodeno-jejunal loop section, an uncommon and atypical presentation of adenocarcinoma in patients with this disease.