Abstract
Surgeons frequently deal with small bowel obstruction. However, small bowel obstruction caused by non-steroidal anti-inflammatory drug ( NSAID)-induced diaphragm disease is very rare. The diagnosis is challenging, as symptoms are often non-specific and radiological studies remain inconclusive. We present a case of a 63-year-old man who, after an extensive diagnostic work-up and small bowel resection for obstructive symptoms, was finally diagnosed with NSAID-induced diaphragm disease as confirmed by histology. An unusual aspect of this case is that the patient stopped using NSAIDs after he was diagnosed with a gastric ulcer 2 years previously. This suggests that NSAID-induced diaphragms of the small bowel take some time to develop and underlines the importance of careful history taking.
Original language | English |
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Pages (from-to) | e189-e191 |
Number of pages | 3 |
Journal | Annals of the Royal College of Surgeons of England |
Volume | 98 |
Issue number | 8 |
DOIs | |
Publication status | Published - Nov 2016 |
Keywords
- NSAID
- Capsule endoscopy
- Abdominal pain
- Intestinal obstruction