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Case Reports
. 2020 Oct 24;2020(10):rjaa358.
doi: 10.1093/jscr/rjaa358. eCollection 2020 Oct.

Idiopathic small bowel diaphragm disease: a case report

Omar Marghich  1 , Alexandre Maubert  1 , Efoé-Ga Yawod Olivier Amouzou  1 , Louis Denimal  1 , Emmanuel Benizri  1 , Mohammed Amine Rahili  1
Affiliations
Case Reports

Idiopathic small bowel diaphragm disease: a case report

Omar Marghich et al. J Surg Case Rep. .

Abstract

Small bowel diaphragm disease is a rare condition usually associated with the prolonged use of non-steroidal anti-inflammatory drugs (NSAID) and that can be mistaken and treated as other pathologies. We describe a case of a 64-year-old man with a prolonged course of pain and subacute bowel obstructions, without any history of NSAID usage, found to have a multiple diaphragmatic stricture in the small bowel.

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Figures

Figure 1
Figure 1
Capsule endoscopy showing an ileal diaphragm.
Figure 2
Figure 2
Axial view: arrows pointing to dilated and collapsed small bowel.
Figure 3
Figure 3
Coronal view: arrows pointing to dilated and collapsed small bowel.
Figure 4
Figure 4
Peroperative enteroscopy.
See this image and copyright information in PMC

References

    1. Lang J, Price AB, Levi AJ, Burke M, Gumpel JM, Bjarnason I. Diaphragm disease: pathology of disease of the small intestine induced by non-steroidal anti-inflammatory drugs. J Clin Pathol 1988;41:516–26. - PMC - PubMed
    1. Grattan BJ Jr, Bennett T, Starks MR. Diaphragm disease: NSAID induced small bowel stricture. Case Rep Gastroenterol. 2018;12:327–30. - PMC - PubMed
    1. Slesser AAP, Wharton R, Smith GV, Buchanan GN. Systematic review of small bowel diaphragm disease requiring surgery. Colorectal Dis. 2012;14:804–13. - PubMed
    1. Velchuru VR, Rimal D, Studley JGN, Sturzaker HG. Diaphragm disease of the ileum. Int J Surg. 2006;4:184–6. - PubMed
    1. Manetas M, O'Loughlin C, Kelemen K, Barkin JS. Multiple small-bowel diaphragms: a cause of obscure GI bleeding diagnosed by capsule endoscopy. Gastrointest Endosc. 2004;60:848–51. - PubMed

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