Diaphragm disease of the small bowel: a case without apparent nonsteroidal antiinflammatory drug use.
BACKGROUND
Diaphragm-like strictures of the small bowel are an infrequent complication of the treatment of patients with nonsteroidal antiinflammatory drugs (NSAIDs).


METHODS
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.
Service of Gastroenterology, University Hospital Lozano Blesa, Zaragoza, Spain.
S
S
Santolaria
R
R
Cabezali
J
J
Ortego
T
T
Castiella
J C
JC
Salinas
A
A
Lanas
D003251:Constriction, Pathologic; D006801:Humans; D007077:Ileal Diseases / Q000139:chemically induced* / Q000473:pathology / Q000601:surgery; D007082:Ileum / Q000187:drug effects / Q000473:pathology; D007415:Intestinal Obstruction / Q000139:chemically induced* / Q000473:pathology / Q000601:surgery; D008297:Male; D008875:Middle Aged