Diaphragm Disease: The Limitation of Laparoscopy and Assessment of the Small Bowel for Strictures Using a Ball Bearing

Diaphragm Disease: The Limitation of Laparoscopy and Assessment of the Small Bowel for Strictures Using a Ball Bearing

Diaphragm disease is a rare cause of intestinal obstruction that will be seen with increasing frequency with the widespread use of nonsteroidal anti-inflammatory drugs (NSAIDs). We present a case study of a patient with diaphragm disease where the diagnosis was not apparent at laparoscopy, and passa...

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Main Authors: C.E. Moffat, M.N. Khyan, C.G. Davies, A.S.K. Ghauri, C.J. Ranaboldo
Format: Article
Language:English
Published: Hindawi Limited 2006-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1100/tsw.2006.216
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spelling doaj-ab690f14427d4d389bda453859d744742020-11-24T21:24:18ZengHindawi LimitedThe Scientific World Journal1537-744X2006-01-0161139114310.1100/tsw.2006.216Diaphragm Disease: The Limitation of Laparoscopy and Assessment of the Small Bowel for Strictures Using a Ball BearingC.E. Moffat0M.N. Khyan1C.G. Davies2A.S.K. Ghauri3C.J. Ranaboldo4Department of General Surgery, Salisbury District Hospital, Wiltshire SP2 8BJ, United KingdomDepartment of General Surgery, Salisbury District Hospital, Wiltshire SP2 8BJ, United KingdomDepartment of General Surgery, Salisbury District Hospital, Wiltshire SP2 8BJ, United KingdomDepartment of General Surgery, Salisbury District Hospital, Wiltshire SP2 8BJ, United KingdomDepartment of General Surgery, Salisbury District Hospital, Wiltshire SP2 8BJ, United KingdomDiaphragm disease is a rare cause of intestinal obstruction that will be seen with increasing frequency with the widespread use of nonsteroidal anti-inflammatory drugs (NSAIDs). We present a case study of a patient with diaphragm disease where the diagnosis was not apparent at laparoscopy, and passage of a steel ball through the small intestine was required to identify all strictures present. A high index of suspicion, recognition of the limitations of conventional diagnostic aids, and the need to assess the full length of the small bowel are all important in the surgical management of this condition.http://dx.doi.org/10.1100/tsw.2006.216
collection DOAJ
language English
format Article
sources DOAJ
author C.E. Moffat
M.N. Khyan
C.G. Davies
A.S.K. Ghauri
C.J. Ranaboldo
spellingShingle C.E. Moffat
M.N. Khyan
C.G. Davies
A.S.K. Ghauri
C.J. Ranaboldo
Diaphragm Disease: The Limitation of Laparoscopy and Assessment of the Small Bowel for Strictures Using a Ball Bearing
The Scientific World Journal
author_facet C.E. Moffat
M.N. Khyan
C.G. Davies
A.S.K. Ghauri
C.J. Ranaboldo
author_sort C.E. Moffat
title Diaphragm Disease: The Limitation of Laparoscopy and Assessment of the Small Bowel for Strictures Using a Ball Bearing
title_short Diaphragm Disease: The Limitation of Laparoscopy and Assessment of the Small Bowel for Strictures Using a Ball Bearing
title_full Diaphragm Disease: The Limitation of Laparoscopy and Assessment of the Small Bowel for Strictures Using a Ball Bearing
title_fullStr Diaphragm Disease: The Limitation of Laparoscopy and Assessment of the Small Bowel for Strictures Using a Ball Bearing
title_full_unstemmed Diaphragm Disease: The Limitation of Laparoscopy and Assessment of the Small Bowel for Strictures Using a Ball Bearing
title_sort diaphragm disease: the limitation of laparoscopy and assessment of the small bowel for strictures using a ball bearing
publisher Hindawi Limited
series The Scientific World Journal
issn 1537-744X
publishDate 2006-01-01
description Diaphragm disease is a rare cause of intestinal obstruction that will be seen with increasing frequency with the widespread use of nonsteroidal anti-inflammatory drugs (NSAIDs). We present a case study of a patient with diaphragm disease where the diagnosis was not apparent at laparoscopy, and passage of a steel ball through the small intestine was required to identify all strictures present. A high index of suspicion, recognition of the limitations of conventional diagnostic aids, and the need to assess the full length of the small bowel are all important in the surgical management of this condition.
url http://dx.doi.org/10.1100/tsw.2006.216
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