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Canadian Journal of Gastroenterology
Volume 8, Issue 6, Pages 354-357
Brief Communication

Occult Celiac Disease in an Octogenarian Presenting with a Small Intestinal Adenocarcinoma

Hugh James Freeman

University Hospital (UBC Site), Vancouver, British Columbia, Canada

Received 13 December 1993; Accepted 12 April 1994

Copyright © 1994 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


An 85-year-old male initially presented with an obstructed upper gastrointestinal tract associated with a duodenal adenocarcinoma. Subsequent histological studies revealed occult celiac disease, an associated condition that otherwise would not have been recognized in this elderly patient. The celiac disease responded to a gluten-free diet, even in the presence of an intestinal adenocarcinoma. This report suggests that celiac disease and small bowel carcinoma may coexist more frequently than is appreciated.