{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T20:39:47Z","timestamp":1792269587375,"version":"4.4.0"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:00:00Z","timestamp":1788739200000},"content-version":"vor","delay-in-days":7,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Diaphragm disease of the small bowel is a rare but well-documented complication of prolonged nonsteroidal anti-inflammatory drug (NSAID) use. Characterized by circumferential mucosal diaphragms, the disease often presents as small bowel obstruction but can also lead to perforation. We report a case of small bowel perforation caused by a swallowed partial denture that became lodged at an ileal diaphragm in a patient with a history of long-term NSAID use. The diagnosis was confirmed histologically following a right hemicolectomy with primary stapled anastomosis. This case highlights the importance of considering diaphragm disease in patients on chronic NSAID therapy who present with signs of bowel obstruction or perforation, even when alternative diagnoses, such as Crohn\u2019s disease, are initially suspected.<\/jats:p>","DOI":"10.1093\/jscr\/rjag763","type":"journal-article","created":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T11:32:50Z","timestamp":1787052770000},"source":"Crossref","is-referenced-by-count":1,"title":["Small bowel perforation secondary to swallowed denture impaction at an NSAID-induced ileal diaphragm"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-9630-8890","authenticated-orcid":false,"given":"Sukhbir","family":"Sira","sequence":"first","affiliation":[{"name":"General Surgery Department, Aberdeen Royal Infirmary , Foresterhill Road, Aberdeen, Scotland AB25 2ZN ,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4993-1979","authenticated-orcid":false,"given":"Andrew","family":"Webster","sequence":"additional","affiliation":[{"name":"General Surgery Department, Aberdeen Royal Infirmary , Foresterhill Road, Aberdeen, Scotland AB25 2ZN ,","place":["United Kingdom"]},{"name":"Medical Education, University of Aberdeen, Kings College , Aberdeen, Scotland AB24 3FX ,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Craig","family":"Mackay","sequence":"additional","affiliation":[{"name":"General Surgery Department, Aberdeen Royal Infirmary , Foresterhill Road, Aberdeen, Scotland AB25 2ZN ,","place":["United 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drugs","volume":"41","author":"Lang","year":"1988","journal-title":"J Clin Pathol"},{"key":"2026090703371364800_ref4","first-page":"139","article-title":"Diaphragm disease: a rare but important diagnosis","volume":"68","author":"Abdulmajed","year":"2020","journal-title":"Int J Surg Case Rep"},{"key":"2026090703371364800_ref5","first-page":"3132","article-title":"Diaphragm disease of the small bowel: a retrospective review of CT findings","volume":"44","author":"Grinvalsky","year":"2019","journal-title":"Abdom Radiol (NY)"},{"key":"2026090703371364800_ref6","doi-asserted-by":"publisher","first-page":"749","DOI":"10.1056\/NEJM199209103271101","article-title":"Gastrointestinal damage associated with the use of nonsteroidal anti-inflammatory drugs","volume":"327","author":"Allison","year":"1992","journal-title":"N Engl J Med"},{"key":"2026090703371364800_ref7","first-page":"1170","article-title":"Long-term effects of nonsteroidal anti-inflammatory drugs on the human small 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Rep"},{"key":"2026090703371364800_ref11","doi-asserted-by":"publisher","first-page":"rjaa294","DOI":"10.1093\/jscr\/rjaa358","article-title":"Idiopathic small bowel diaphragm disease: a case report and review","volume":"2020","author":"Marghich","year":"2020","journal-title":"J Surg Case Rep"}],"container-title":["Journal of Surgical Case 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