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Journal of Clinical Gastroenterology:
Case Reports

Diaphragm Disease of the Small Bowel: A Case Without Apparent Nonsteroidal Antiinflammatory Drug Use

Santolaria, Santos M.D.; Cabezali, Roger M.D.; Ortego, Javier M.D.; Castiella, Tomas M.D.; Salinas, Jose C. M.D.; Lanas, Angel M.D.

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Background: Diaphragm-like strictures of the small bowel are an infrequent complication of the treatment of patients with nonsteroidal antiinflammatory drugs (NSAIDs).

Study: We report a patient with this condition in whom the use of NSAIDs was ruled out by both clinical history and objective blood testing of current aspirin use.

Results: He reported a history of recurrent episodes of colic abdominal pain during the past 25 years; he underwent three surgical operations for this condition. Before these symptoms, he had an undefined abdominal process with diarrhea, weight loss, and diffuse edema, which resolved spontaneously without reaching a diagnosis.

Conclusions: We suggest that diaphragm-like strictures might be developed as a nonspecific response to different damaging insults to the intestine and are not necessarily associated with NSAID use.

© 2001 Lippincott Williams & Wilkins, Inc.


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