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未使用非甾体抗炎药的特发性小肠隔膜病:一例报告并文献复习

Idiopathic Small Bowel Diaphragm Disease Without Use of Non-steroidal Anti-inflammatory Drugs: A Case Report and Review of the Literature.

作者信息

Gala Dhir, Tsou Han Chen Tom, Khoury Josef, Shah Mili, Wonnacott Stephen, Funk Carly M, Kumar Vikash, Toomey Paul

机构信息

Internal Medicine, American University of the Caribbean, Brooklyn, USA.

Internal Medicine, Ross University School of Medicine, Barbados, BRB.

出版信息

Cureus. 2022 Dec 20;14(12):e32735. doi: 10.7759/cureus.32735. eCollection 2022 Dec.

DOI:10.7759/cureus.32735
PMID:36686135
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9851090/
Abstract

Small bowel diaphragm disease is a rare condition that is characterized by the presence of diaphragm-like strictures that causes intermittent or complete small bowel obstruction. Most cases are asymptomatic until presented with severe abdominal pain due to small bowel obstruction or diagnosed during anemia workup as a cause of occult gastrointestinal bleeding. Small bowel diaphragm disease is usually associated with long-term use of non-steroidal anti-inflammatory drugs (NSAIDs). Here, we present the case of a 50-year-old male with no history of NSAID use who presented with abdominal pain and iron deficiency anemia. He was postoperatively diagnosed with idiopathic small bowel diaphragm disease.

摘要

小肠隔膜病是一种罕见疾病,其特征为存在类似隔膜的狭窄,可导致间歇性或完全性小肠梗阻。大多数病例在因小肠梗阻出现严重腹痛之前无症状,或在贫血检查时作为隐匿性胃肠道出血的病因被诊断出来。小肠隔膜病通常与长期使用非甾体抗炎药(NSAIDs)有关。在此,我们报告一例50岁男性病例,该患者无使用NSAIDs的病史,表现为腹痛和缺铁性贫血。术后他被诊断为特发性小肠隔膜病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a9c/9851090/896da43e7d4e/cureus-0014-00000032735-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a9c/9851090/896da43e7d4e/cureus-0014-00000032735-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a9c/9851090/896da43e7d4e/cureus-0014-00000032735-i01.jpg

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本文引用的文献

1
Colonic diaphragm disease secondary to nonsteroidal anti-inflammatory drug use.非甾体抗炎药使用继发的结肠隔膜病
Proc (Bayl Univ Med Cent). 2020 Mar 6;33(3):391-392. doi: 10.1080/08998280.2020.1732162. eCollection 2020 Jul.
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Small bowel diaphragm disease from long-term non-steroidal anti-inflammatory use.长期使用非甾体抗炎药导致的小肠隔膜病
BMJ Case Rep. 2019 Oct 5;12(10):e230735. doi: 10.1136/bcr-2019-230735.
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A Curious Case of Intestinal Diaphragm Disease Unmasked by Perforation of a Duodenal Ulcer.一例因十二指肠溃疡穿孔而被揭示的罕见肠隔膜疾病病例
Case Rep Med. 2017;2017:5048345. doi: 10.1155/2017/5048345. Epub 2017 Mar 27.
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Clinical Features, Diagnosis, and Treatment Strategies of Gastrointestinal Diaphragm Disease Associated with Nonsteroidal Anti-Inflammatory Drugs.非甾体抗炎药相关的胃肠道隔膜病的临床特征、诊断及治疗策略
Gastroenterol Res Pract. 2016;2016:3679741. doi: 10.1155/2016/3679741. Epub 2016 Mar 28.
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Diaphragm disease of the small bowel: a retrospective review of CT findings.小肠膈膜疾病:CT 表现的回顾性研究。
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Systematic review of small bowel diaphragm disease requiring surgery.小肠膈疾病手术治疗的系统评价
Colorectal Dis. 2012 Jul;14(7):804-13. doi: 10.1111/j.1463-1318.2011.02741.x.
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Histopathology of diaphragm disease of the small intestine: a study of 10 cases from a single institution.小肠隔膜病的组织病理学:来自单一机构的10例病例研究。
Am J Clin Pathol. 2008 Oct;130(4):518-25. doi: 10.1309/7DDT5TDVB5C6BNHV.
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Gastrointest Endosc. 2008 Jul;68(1):174-80. doi: 10.1016/j.gie.2008.02.037. Epub 2008 Jun 2.
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Long-term effects of nonsteroidal anti-inflammatory drugs and cyclooxygenase-2 selective agents on the small bowel: a cross-sectional capsule enteroscopy study.非甾体抗炎药和环氧化酶-2选择性药物对小肠的长期影响:一项横断面胶囊内镜检查研究
Clin Gastroenterol Hepatol. 2007 Sep;5(9):1040-5. doi: 10.1016/j.cgh.2007.04.031. Epub 2007 Jul 10.