{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T00:48:16Z","timestamp":1771634896647,"version":"3.50.1"},"reference-count":14,"publisher":"BMJ","issue":"10","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,9,18]]},"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:p>Small bowel diaphragm disease (SBDD) is characterised by circumferential lesions of short length (&lt;5\u2009mm), causing intrinsic stenosis of the small bowel lumen. A 63-year-old women with a history of long-term non-steroidal anti-inflammatory use, presented with a 12-month history of intermittent episodes of colicky abdominal pain, nausea and vomiting. Her only past surgery was a laparoscopic hysterectomy. Abdominal CT demonstrated an area of thickening in the mid small bowel, however a diagnostic laparoscopy failed to demonstrate adhesions or any external abnormality. A capsule endoscope did not progress beyond the mid small bowel at the site of a suspected diaphragm. The patient underwent a laparotomy and using the retained capsule as a marker, the area of bowel affected by SBDD was identified. With an ageing population and the widespread use of non-steroidalanti-inflammatory drugs, general surgeons may see an increase in the incidence of SBDD.<\/jats:p>","DOI":"10.1136\/bcr-2019-230735","type":"journal-article","created":{"date-parts":[[2019,10,5]],"date-time":"2019-10-05T14:55:19Z","timestamp":1570287319000},"page":"e230735","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Small bowel diaphragm disease from long-term non-steroidal anti-inflammatory use"],"prefix":"10.1136","volume":"12","author":[{"given":"Ryan","family":"Pereira","sequence":"first","affiliation":[{"name":"Department of Surgery, Princess Alexandra Hospital, Woolloongabba, Queensland, Australia"},{"name":"Department of Surgery, Greenslopes Private Hospital, Brisbane, Queensland, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kellee","family":"Slater","sequence":"additional","affiliation":[{"name":"Department of Surgery, Princess Alexandra Hospital, Woolloongabba, Queensland, Australia"},{"name":"Department of Surgery, Greenslopes Private Hospital, Brisbane, Queensland, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,10,5]]},"reference":[{"key":"2025082708434630000_12.10.e230735.1","first-page":"175","article-title":"Aspirin-Related small bowel diaphragm disease identified during emergency laparotomy","volume":"69","author":"Crowther","year":"2000","journal-title":"Ulster Med J"},{"key":"2025082708434630000_12.10.e230735.2","first-page":"1","article-title":"Clinical features, diagnosis, and treatment strategies of gastrointestinal diaphragm disease associated with nonsteroidal anti-inflammatory drugs","volume":"2016","author":"Wang","year":"2016","journal-title":"Gastroenterol Res Pract"},{"key":"2025082708434630000_12.10.e230735.3","doi-asserted-by":"publisher","DOI":"10.1136\/jcp.41.5.516"},{"key":"2025082708434630000_12.10.e230735.4","doi-asserted-by":"publisher","DOI":"10.1309\/7DDT5TDVB5C6BNHV"},{"key":"2025082708434630000_12.10.e230735.5","doi-asserted-by":"publisher","DOI":"10.1136\/openhrt-2016-000550"},{"key":"2025082708434630000_12.10.e230735.6","doi-asserted-by":"publisher","DOI":"10.1097\/00042737-200211000-00017"},{"key":"2025082708434630000_12.10.e230735.7","first-page":"610","article-title":"Nonsteroidal anti-inflammatory drug-induced diaphragm disease arising in a bypassed ileal segment","volume":"89","author":"Monihan","year":"1994","journal-title":"Am J Gastroenterol"},{"key":"2025082708434630000_12.10.e230735.8","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.13.10732"},{"key":"2025082708434630000_12.10.e230735.9","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2007.04.031"},{"key":"2025082708434630000_12.10.e230735.10","doi-asserted-by":"crossref","first-page":"1011","DOI":"10.1007\/s00261-015-0367-2","article-title":"Nsaid enteropathy: appearance at CT and Mr enterography in the age of multi-modality imaging and treatment","volume":"40","author":"Frye","year":"2015","journal-title":"Abdom Imaging"},{"key":"2025082708434630000_12.10.e230735.11","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2008.02.037"},{"key":"2025082708434630000_12.10.e230735.12","first-page":"296","article-title":"Subacute small bowel obstruction due to diaphragm disease. clinical medicine","volume":"10","author":"Chernolesskiy","year":"2010","journal-title":"J Royal Coll Physicians Edinb"},{"key":"2025082708434630000_12.10.e230735.13","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2015-210174","article-title":"Small bowel diaphragm disease mimicking malignancy","volume":"2015","author":"Sarantitis","year":"2015","journal-title":"BMJ Case Rep"},{"key":"2025082708434630000_12.10.e230735.14","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2006.05.026"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2019-230735","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T15:43:54Z","timestamp":1756309434000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2019-230735"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,10]]},"references-count":14,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2019,10,5]]},"published-print":{"date-parts":[[2019,10]]}},"alternative-id":["10.1136\/bcr-2019-230735"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2019-230735","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,10]]}}}