Document Detail


Nonsteroidal anti-inflammatory drug colopathy mimicking malignant masses of the colon: a report of three cases and review of the literature.
MedLine Citation:
PMID:  21140699     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The adverse effects of nonsteroidal anti-inflammatory drugs (NSAIDs) on the colon have been reported as a wide spectrum of symptoms, signs, and endoscopic findings. Despite the extensive use of NSAIDs, and the potential seriousness of NSAID colopathy, this condition often goes unrecognized or misdiagnosed. We report three cases of NSAID colopathy in which the diagnosis of malignancy was incorrectly made based on endoscopic findings. Before any surgical intervention, we entertained the diagnosis of NSAID colopathy based on clinical presentation. Ultimately, in two of the three cases, surgery was avoided and the lesions resolved. We present their clinical course and a review of the pertinent literature reviewing theories of the pathophysiology, the range of clinical presentations, and the pathological findings of this entity.
Authors:
David M Margolius; Thomas E Cataldo
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  The American surgeon     Volume:  76     ISSN:  0003-1348     ISO Abbreviation:  Am Surg     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-12-09     Completed Date:  2011-01-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370522     Medline TA:  Am Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1282-6     Citation Subset:  IM    
Affiliation:
Warren Alpert Medical School of Brown University, Brown University, Providence, Rhode Island 02905, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Anti-Inflammatory Agents, Non-Steroidal / adverse effects*
Colitis / chemically induced*,  diagnosis,  physiopathology,  surgery
Colonic Neoplasms / diagnosis
Colonoscopy
Diagnosis, Differential
Female
Gastrointestinal Hemorrhage / chemically induced,  diagnosis,  physiopathology,  surgery
Humans
Male
Middle Aged
Tomography, X-Ray Computed
Chemical
Reg. No./Substance:
0/Anti-Inflammatory Agents, Non-Steroidal

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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