Neuroendocrine pancreatic carcinoma after initial diagnosis of acute postpartal celiac disease in a 37-year old woman – fatal coincidence or result of a neglected disease?

An acute presentation of celiac disease (CD) after a pregnancy in the puerperium is a rare condition which has been described mostly in primigravidae in patients highly suspicious of latent CD. We report the case of a 37-year old woman who was referred to our hospital because of refractory watery diarrhoea and malnutrition syndrome. Endoscopy of the upper gastrointestinal tract revealed the classic visual features of CD and in addition some duodenal ulcers negative for Helicobacter pylori which seems to be another clinical feature in celiac patients. The diagnosis of acute onset of fulminant postpartal CD (Marsh…