Diaphragmatic Disease: Case Report and Literature Review

Authors

DOI:

https://doi.org/10.22516/25007440.1185

Keywords:

Intestinal obstruction, small intestine, anti-inflammatory, gastrointestinal tract

Abstract

Diaphragmatic disease of the small intestine, named for its microscopic appearance of concentric rings of fibrotic tissue, is a rare condition with nonspecific symptoms that leads to small bowel strictures. The primary risk factor is prolonged use of nonsteroidal anti-inflammatory drugs (NSAIDs). Presenting symptoms are vague and may include chronic abdominal pain, iron deficiency anemia, weight loss, and constipation. Imaging studies often reveal findings suggestive of adhesions or a mass causing primary small bowel obstruction, making a definitive diagnosis challenging; histopathological confirmation is required. We present the case of an 88-year-old female patient who developed primary intestinal obstruction due to diaphragmatic stricture in the distal ileum, attributed to long-term acetylsalicylic acid use for her underlying comorbidities.

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Author Biographies

Juan David Molina Marin, Universidad CES

General Physician, resident of General Surgery, Universidad CES. Medellín, Colombia.

Camilo Naranjo Salazar, Universidad de Antioquia

General Surgeon, Fellow in Oncologic Surgery, Universidad de Antioquia. Medellín, Colombia.

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Figura 1. Obstrucción intestinal con zona de transición en el íleon distal. Tomografía simple de abdomen, con una flecha que señala la zona de transición, con estenosis en el íleon distal. Imagen propiedad de los autores.

Published

2025-04-12

How to Cite

Molina Marin, J. D., & Naranjo Salazar, C. (2025). Diaphragmatic Disease: Case Report and Literature Review. Revista Colombiana De Gastroenterología, 40(1), 73–77. https://doi.org/10.22516/25007440.1185

Issue

Section

Case report