Diaphragm Disease: The Limitation of Laparoscopy and Assessment of the Small Bowel for Strictures Using a Ball Bearing. (2006)

• Record Type: Journal Article
• Authors: Moffat, C.E.; Khyan, M.N.; Davies, C.G.; Ghauri, A.S.K.; Ranaboldo, C.J.
• Other Names: Goyal Raj K. Academic Editor.
• Is Part Of: TheScientificWorldjournal. Volume 6(2006)
• Page Start: 1139
• Page End: 1143
• Publication Date: 2006
• Subjects: acute abdomen -- diaphragm disease -- diagnostic techniques -- digestive system -- emergencies -- enteritis -- ileum – pathology -- ileal disease (chemically induced) -- pathology -- inflammatory bowel disease – chemically induced -- intestinal mucosa – pathology -- intestinal obstruction – chemically induced -- diagnosis -- pathology -- aetiology -- surgery -- laparoscopy – methods -- utilization -- laparotomy -- minimally invasive surgical procedures -- small intestine – pathology -- surgery -- drug effects -- surgery; Science -- Periodicals; Technology -- Periodicals; Medicine -- Periodicals; 505
• DOI: 10.1100/tsw.2006.216
• Languages: English
• ISSNs: 2356-6140

Abstract

Abstract : 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.