| CASE REPORT |
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| Year : 2010 | Volume
: 15
| Issue : 1 | Page : 30-31 |
Coeliac disease in a child with anorectal malformation: The importance of considering other causes of diarrhea
Milan Gopal1, Shawqui Nour1, Wren Hoskyns2
1 Department of Paediatric Surgery, Leicester Royal Infirmary, Infirmary Square, Leicester, LE1 5WW, United Kingdom
2 Department of General Pediatrics, Leicester Royal Infirmary, Infirmary Square, Leicester, LE1 5WW, United Kingdom
Correspondence Address:
Milan Gopal
12 Shoreswood Way, Greenside, Newcastle upon Tyne NE13 9AE
United Kingdom
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0971-9261.69140
We present the case of an Indian child with a high anorectal malformation (ARM) who postoperatively had troublesome fecal incontinence. Based on a dietary history, weight loss, and diarrhea, a duodenal biopsy was performed that revealed coeliac disease. Since being on a gluten-free diet, her symptoms have improved dramatically. To the best of our knowledge this is the first report in the English literature of such an association between ARMs and coeliac disease. Dietary modification alone can dramatically improve symptoms in these children.
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