{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T16:57:58Z","timestamp":1774025878450,"version":"3.50.1"},"reference-count":5,"publisher":"Royal College of Surgeons of England","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["annals"],"published-print":{"date-parts":[[2016,11]]},"abstract":"<jats:p>Surgeons frequently deal with small bowel obstruction. However, small bowel obstruction caused by non-steroidal anti-inflammatory drug (NSAID)-induced diaphragm disease is very rare. The diagnosis is challenging, as symptoms are often non-specific and radiological studies remain inconclusive. We present a case of a 63-year-old man who, after an extensive diagnostic work-up and small bowel resection for obstructive symptoms, was finally diagnosed with NSAID-induced diaphragm disease as confirmed by histology. An unusual aspect of this case is that the patient stopped using NSAIDs after he was diagnosed with a gastric ulcer 2\u2013years previously. This suggests that NSAID-induced diaphragms of the small bowel take some time to develop and underlines the importance of careful history taking.<\/jats:p>","DOI":"10.1308\/rcsann.2016.0235","type":"journal-article","created":{"date-parts":[[2016,8,9]],"date-time":"2016-08-09T09:34:58Z","timestamp":1470735298000},"page":"e189-e191","source":"Crossref","is-referenced-by-count":3,"title":["Non-steroidal anti-inflammatory drug-induced diaphragm disease: an uncommon cause of small bowel obstruction"],"prefix":"10.1308","volume":"98","author":[{"given":"MME","family":"Coolsen","sequence":"first","affiliation":[{"name":"Department of Colorectal Surgery, Churchill Hospital, Oxford University Hospitals, UK"},{"name":"Department of Surgery, University Hospital Maastricht, Maastricht, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"SJ","family":"Leedham","sequence":"additional","affiliation":[{"name":"Gastrointestinal Stem Cell Biology Laboratory, Wellcome Trust Centre for Human Genetics, University of Oxford, UK"},{"name":"Translational Gastroenterology Unit, John Radcliffe Hospital, Oxford, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"RJ","family":"Guy","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery, Churchill Hospital, Oxford University Hospitals, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"171","reference":[{"issue":"6","key":"bib1","first-page":"895","volume":"43","author":"Huh SH","year":"2002","journal-title":"J Cardiovasc Surg."},{"key":"bib2","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/2498143"},{"key":"bib3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2011.02741.x"},{"issue":"5","key":"bib4","doi-asserted-by":"crossref","first-page":"538","DOI":"10.1111\/apt.12858","volume":"40","author":"Ishihara M","year":"2014","journal-title":"Aliment Pharmacol Ther"},{"key":"bib5","doi-asserted-by":"publisher","DOI":"10.1309\/7DDT5TDVB5C6BNHV"}],"container-title":["The Annals of The Royal College of Surgeons of England"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publishing.rcseng.ac.uk\/doi\/pdf\/10.1308\/rcsann.2016.0235","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,18]],"date-time":"2024-06-18T19:49:48Z","timestamp":1718740188000},"score":1,"resource":{"primary":{"URL":"https:\/\/publishing.rcseng.ac.uk\/doi\/10.1308\/rcsann.2016.0235"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,11]]},"references-count":5,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2016,11]]}},"alternative-id":["10.1308\/rcsann.2016.0235"],"URL":"https:\/\/doi.org\/10.1308\/rcsann.2016.0235","relation":{},"ISSN":["0035-8843","1478-7083"],"issn-type":[{"value":"0035-8843","type":"print"},{"value":"1478-7083","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,11]]}}}