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1European Gaza Hospital, Qatar
2Hamad General Hospital, Qatar
*Corresponding author: Khalid Matar MD, European Gaza Hospital, Khanyounis City-Alfukhari, Gaza Strip-Palestine, Qatar
Submission: August 24, 2017; Published: December 15, 2017
ISSN 2637-7632Volume1 Issue1
Idiopathic Portal hypertension (IPH) is a disorder of unknown etiology. We are reporting a case of IPH and Celiac disease. A 39-year old female patient was referred to gastroenterology clinic for diagnostic work-up of severe pancytopenia, massive splenomegaly and tense ascites. Diagnosis of IPH was clinically suspected after exclusion of possible causes that can manifest as portal hypertension. Endoscopy revealed esophageal varices along with atrophic folds and scalloping in the second part of the duodenum. Celiac disease was diagnosed based on histopathology findings and strong serology positivity for anti- tissue transglutaminase IgA. Her symptoms improved on a gluten-free diet and laboratory tests results improved considerably with significant reduction of the spleen size and ascites.
Conclusion: We suggest that physicians should be aware of this unusual association between celiac disease and IPH. Early diagnosis and proper treatment of Celiac disease not only helps to obviate the need for further unwarranted invasive procedures but also helped in improvement of portal hypertension.
Ph.D in Agriculture from Faculty of Agriculture, Tohoku University
Research Professor, PhD, Holistic Research Institute
Professor, Chief Doctor, Director of Department of Pediatric Surgery, Associate Director of Department of Surgery, Doctoral Supervisor Tongji hospital, Tongji medical college, Huazhong University of Science and Technology
Senior Research Engineer and Professor, Center for Refining and Petrochemicals, Research Institute, King Fahd University of Petroleum and Minerals (KFUPM), Dhahran, Saudi Arabia
Fellow of International Agency for Standards and Ratings (IASR), Edith Cowan University, Sarich Neuroscience Research Institute
Chancellor Emeritus / Professor Emeritus of Chemistry and Physics, University of Missouri–St. Louis
Ph.D in Science from the Federal University of Alagoas, UFAL, Brazil
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Interim Dean, College of Education and Health Sciences, Director of Biomechanics Laboratory, Sport Science Innovation Program, Bridgewater State University
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