Baiomi Ahmed, Abbas Hafsa, Mehershahi Shehriyar, Daniel Myrta
Department of Medicine, BronxCare Health System, Bronx, New York, USA.
Division of Gastroenterology, BronxCare Health System, Bronx, New York, USA.
Case Rep Gastroenterol. 2021 Mar 18;15(1):395-399. doi: 10.1159/000511748. eCollection 2021 Jan-Apr.
NSAIDs (non-steroidal anti-inflammatory drugs) are one of the most used medications worldwide. Every day they are used by more than 30 million Americans. Here, we report a rare and interesting case of a 63-year-old woman with a history of NSAID use who presented to our emergency room with lower abdominal pain. Computed tomography (CT) scan of the abdomen with intravenous contrast revealed focal mucosal thickening in the cecum which was highly suspicious for colonic malignancy. She had a colonoscopy which showed two masses and ulcers in the right colon, pathology was negative for malignancy and showed inflammation consistent with NSAID colopathy.
非甾体抗炎药(NSAIDs)是全球使用最广泛的药物之一。每天有超过3000万美国人使用它们。在此,我们报告一例罕见且有趣的病例,一名63岁有非甾体抗炎药使用史的女性因下腹部疼痛就诊于我们的急诊室。腹部增强计算机断层扫描(CT)显示盲肠局灶性黏膜增厚,高度怀疑为结肠恶性肿瘤。她接受了结肠镜检查,结果显示右半结肠有两个肿块和溃疡,病理检查排除恶性肿瘤,显示为与非甾体抗炎药结肠病相符的炎症。