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© 1994 British Society for Rheumatology

case-report

NON-STEROIDAL ANTI-INFLAMMATORY INDUCED DIAPHRAGM DISEASE OF THE SMALL INTESTINE: COMPLEXITIES OF DIAGNOSIS AND MANAGEMENT

C. A. SPEED*, M. G. BRAMBLE{dagger}, W. A. CORBETT{ddagger} and I. HASLOCK*

*Department of Rheurnatology, South Cleveland Hospital Marton Road Cleveland TS4 3BW
{dagger}Departments of Gastroenterology, Middlesbrough General Hospial Ayrcrome Green Lane , Middlesbrough, Cleveland TS5 5AZ
{ddagger}Departments of Surgery, Middlesbrough General Hospial Ayrcrome Green Lane , Middlesbrough, Cleveland TS5 5AZ

A 52-yr-old lady with RA on long term NSAIDs developed an iron-deficiency anaemia and subsequently presented with subacute intestinal obstruction. After intensive investigation, a diagnosis of diaphragm disease of the small intestine was made at laparotomy. The features of diaphragm disease and the difficulties with diagnosis and management of the condition are discussed.

KEY WORDS: Diaphragm disease, Non-steroidal anti-inflammatory drugs, Intestine, Arthritis, Diagnosis


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