Year 2020 / Volume 112 / Number 4
Digestive Diseases Image
Enteroscopic diagnosis of intestinal malabsorption of a rare etiology: diaphragm disease

325-326

DOI: 10.17235/reed.2020.6723/2019

María del Mar Díaz Alcázar, Alicia Martín-Lagos Maldonado, Amparo Roa Colomo, Francisco Javier Casado Caballero,

Abstract
We present the case of a 59-year-old patient with malabsorption syndrome which started with polyneuropathy. Capsule endoscopy and enteroscopy show villous denudation. Histological study confirms diaphragm disease of the small bowel. Diaphragm disease is a rare disease characterized by the presence of multiple thin diaphragms, such as septa, that narrow the intestinal lumen. The clinical features can be iron deficiency anemia, intestinal obstruction, change in bowel habits or acute abdomen secondary to perforation. It is usually generally with sustained use of high doses of non-steroidal anti-inflammatory drugs. The diagnosis usually requires the use of a capsule endoscopy or enteroscopy with biopsies.
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References
1. Ullah S, Ajab S, Rao R, et al. Diaphragm disease of the small intestine: an interesting case report. Int J Surg Pathol 2015;23(4):322–4.
2. Slesser AAP, Wharton R, Smith GV, et al. Systematic review of small bowel diaphragm disease requiring surgery. Colorectal Dis 2012;14(7):804-13.
3. Kelly ME, McMahon LE, Jaroszewski DE, et al. Small-bowel diaphragm disease: seven surgical cases. Arch Surg 2005;140(12):1162-6.
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Díaz Alcázar M, Martín-Lagos Maldonado A, Roa Colomo A, Casado Caballero F. Enteroscopic diagnosis of intestinal malabsorption of a rare etiology: diaphragm disease. 6723/2019


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Publication history

Received: 01/11/2019

Accepted: 20/11/2019

Online First: 14/02/2020

Published: 07/04/2020

Article Online First time: 105 days

Article editing time: 158 days


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