Non-steroidal anti-inflammatory drug (NSAID)-induced colonic strictures and perforation: A case report

Digestive and Liver Disease

Volumn 38, Issue 4, 2006, Pages 276-278

  Aloysius, M M ^a   Kaye, P V ^b   Lobo, D N ^a  

^a NOTTINGHAM UNIVERSITY HOSPITALS NHS TRUST   (United Kingdom)

^b QUEEN S MEDICAL CENTRE   (United Kingdom)

Author keywords

Colon; Colopathy; Complication; Diclofenac; Histology; Non steroidal anti inflammatory drugs; Perforation; Stricture

Indexed keywords

DICLOFENAC; FOLIC ACID; HYDROCORTISONE; METHOTREXATE; NONSTEROID ANTIINFLAMMATORY AGENT; RANITIDINE;

ABDOMINAL PAIN; ACUTE ABDOMEN; AGED; ARTICLE; BACTERIAL ARTHRITIS; CASE REPORT; CECUM; CLINICAL FEATURE; COLON DISEASE; COLON PERFORATION; COLON ULCER; COMPUTER ASSISTED TOMOGRAPHY; DIARRHEA; DISEASE DURATION; DISEASE SEVERITY; FEMALE; HUMAN; HYPERTENSION; INTESTINAL FIBROSIS; KNEE ARTHRITIS; KNEE ARTHROPLASTY; LONG TERM CARE; MYELODYSPLASIA; OSTEOPOROSIS; PATIENT REFERRAL; PNEUMOPERITONEUM; RHEUMATOID ARTHRITIS; SEPSIS; VOMITING;

ABDOMEN, ACUTE; AGED; ANTI-INFLAMMATORY AGENTS, NON-STEROIDAL; ARTHRITIS, RHEUMATOID; COLON; COLONIC DISEASES; CONSTRICTION, PATHOLOGIC; FEMALE; HUMANS; INTESTINAL PERFORATION;

EID: 33748487398     PISSN: 15908658     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.dld.2005.09.003     Document Type: Article

References (16)

1. Sheers R., and Williams W.R. NSAIDS and gut damage. Lancet 2 (1989) 1154
2. Huber T., Ruchti C., and Halter F. Nonsteroidal antiinflammatory drug-induced colonic strictures: a case report. Gastroenterology 100 (1991) 1119-1122
3. Robinson M.H., Wheatley T., and Leach I.H. Nonsteroidal anti-inflammatory drug-induced colonic stricture. An unusual cause of large bowel obstruction and perforation. Dig Dis Sci 40 (1995) 315-319
4. Sukumar L. Recurrent small bowel obstruction associated with piroxicam. Br J Surg 74 (1987) 186
5. Lang J., Price A.B., Levi A.J., Burke M., Gumpel J.M., and Bjarnason I. Diaphragm disease: pathology of disease of the small intestine induced by non-steroidal anti-inflammatory drugs. J Clin Pathol 41 (1988) 516-526
6. Fellows I.W., Clarke J.M., and Roberts P.F. Non-steroidal anti-inflammatory drug-induced jejunal and colonic diaphragm disease: a report of two cases. Gut 33 (1992) 1424-1426
7. Halter F., Weber B., Huber T., Eigenmann F., Frey M.P., and Ruchti C. Diaphragm disease of the ascending colon. Association with sustained-release diclofenac. J Clin Gastroenterol 16 (1993) 74-80
8. Haque S., Haswell J.E., Dreznick J.T., and West A.B. A caecal diaphragm associated with the use of nonsteroidal anti-inflammatory drugs. J Clin Gastroenterol 15 (1992) 332-335
9. Monahan D.W., Starnes E.C., and Parker A.L. Colonic strictures in a patient on long-term non-steroidal anti-inflammatory drugs. Gastrointest Endosc 38 (1992) 385-388
10. Pucius R.J., Charles A.K., Adair H.M., Rowe R.C., and Hacking J.C. Diaphragm-like strictures of the colon induced by non-steroidal anti-inflammatory drugs. Br J Surg 80 (1993) 395-396
11. Debenham G.P. Ulcer of the caecum during oxyphenbutazone (tandearil) therapy. Can Med Assoc J 94 (1966) 1182-1184
12. Hudson N., Wilkinson M.J., Swannell A.J., Steele R.J., and Hawkey C.J. Ileo-caecal ulceration associated with the use of diclofenac slow release. Aliment Pharmacol Ther 7 (1993) 197-200
13. Bjarnason I., and Peters T.J. Intestinal permeability, non-steroidal anti-inflammatory drug enteropathy and inflammatory bowel disease: an overview. Gut 30 Spec No (1989) 22-28
14. Gopal D.V., and Katon R.M. Endoscopic balloon dilatation of multiple NSAID-induced colonic strictures: a case report and review of literature on NSAID-related colopathy. Gastrointest Endosc 50 (1999) 120-123
15. Penner R.M., and Williams C.N. Resolution of multiple severe nonsteroidal anti-inflammatory drug-induced colonic strictures with prednisolone therapy: a case report and review of the literature. Can J Gastroenterol 17 (2003) 497-500
16. Matolo N.M., Garfinkle S.E., and Wolfman Jr. E.F. Intestinal necrosis and perforation in patients receiving immunosuppressive drugs. Am J Surg 132 (1976) 753-754