Recurrent Intestinal Obstruction in a Patient with Selective IgA Deficiency
- Author:
Chee-Kin Hui
- Publication Type:Case Reports
- Keywords:
selective IgA deficiency;
intestinal obstruction;
antibiotic prophylaxis
- From:Malaysian Journal of Medical Sciences
2016;23(6):123-127
- CountryMalaysia
- Language:English
-
Abstract:
A 32 year old woman presented with acute onset of abdominal pain and fever. An urgent
computerised tomography (CT) of the whole abdomen showed dilated loop at the terminal ileum
in the right lower abdomen with thickening of the wall and oedema. The CT was suggestive of
distal small bowel obstruction at the ileum with surrounding wall oedema. Multiple biopsies taken
from the terminal ileum and colon on colonoscopy were all unremarkable. She represented oneyear
later with a recurrence of intestinal obstruction. CT enteroclysis showed collapse at the distal
3 cm segment of the terminal ileum. There was no associated wall thickening, active inflammatory
changes or ileitis. This was suspicious of post-inflammatory change or fibrosis. She was
subsequently found to have selective IgA deficiency with recurrent infection in the terminal ileum
resulting in intestinal obstruction. In conclusion, selective IgA deficiency should be considered in
patients with recurrent intestinal obstruction without anatomical obstructions.
- Full text:P020170717539505109721.pdf
