Nonsteroidal anti-inflammatory drug-induced strictures of the colon: report of a case and review of the literature.
The phenomenon of strictures of the colon induced by nonsteroidal anti-inflammatory drugs is a newly recognized pathologic entity that has gained little exposure in the surgical literature to date. A further case is reported and the clinical features of this entity are discussed. Most patients present with symptoms suggestive of malignancy, namely anemia, obstructive symptoms, or weight loss. Pathologic changes are characterized by diaphragm-like strictures with submucosal fibrosis. Surgical resection to exclude malignancy and treat symptoms along with cessation of the nonsteroidal anti-inflammatory drug is the treatment of choice.
Israel
L H
LH
Department of Surgery, North Shore Hospital, Auckland, New Zealand.
Koea
J B
JB
Stewart
I D
ID
Wright
C L
CL
Frankish
P D
PD
D000740:Anemia / Q000209:etiology; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000008:administration & dosage / Q000009:adverse effects* / Q000627:therapeutic use; D003108:Colonic Diseases / Q000139:chemically induced* / Q000473:pathology / Q000601:surgery; D003251:Constriction, Pathologic / Q000139:chemically induced / Q000601:surgery; D003937:Diagnosis, Differential; D004008:Diclofenac / Q000008:administration & dosage / Q000009:adverse effects* / Q000627:therapeutic use; D005260:Female; D006801:Humans; D008875:Middle Aged; D015431:Weight Loss
D000894:Anti-Inflammatory Agents, Non-Steroidal; D004008:Diclofenac