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Case 4
Presented by: Fátima Carneiro, Portugal
Clinical History
Male, 11 years-old, with iron-deficiency anaemia and occult gastrointestinal tract blood loss. Clinical history was irrelevant. The use of nonsteroidal anti-inflammatory drugs (NSAIDs) was denied. Microbiologic study of stools was negative. The patient was submitted to video capsule endoscopy which was inconclusive due to the retention of the capsule in the small bowel, necessitating operative extraction. At laparotomy for the removal of the video capsule, intraoperative enteroscopy was performed. This procedure disclosed the presence of several pink-tan mucosal diaphragm-like folds (circumferential ridges) with focal haemorrhage, oedema and ulceration at the luminal orifices. The segment of small bowel displaying the diaphragm-like structures was removed and submitted to histopathological examination
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DIAPHRAGM DISEASE OF THE SMALL BOWEL NOT RELATED TO THE USE OF NSAIDS
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SS6, Case 4 |
25.8.2007 |
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28.12.2007 |
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