Internal medicine (Tokyo, Japan) · 2015
Multiple Colon Ulcers with Typical Small Intestinal Lesions Induced by Non-Steroidal Anti-Inflammatory Drugs.
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Akashi Momoko, Ando Takayuki, Hamashima Takeru, Yoshita Hiroki, Nanjo Sohachi, Mihara Hiroshi, Fujinami Haruka, Kajiura Shinya, Nishikawa Jun, Miura Yoshiaki, Hosokawa Ayumu, Sugiyama Toshiro
Аннотация
The diagnosis of NSAID-induced colon ulcers is difficult when the distribution or endoscopic findings are not typical. An 83-year-old woman was transferred to our hospital for hemorrhagic diarrhea. Colonoscopy showed multiple ulcers in the entire colon, particularly longitudinal ulcers in the transverse colon. These were unusual for NSAID-induced colopathy, although she had been on meloxicam. However, capsule endoscopy revealed multiple scars and erosions, characteristic of NSAIDs users. The final diagnosis was NSAID-induced enteropathy, and all lesions were in remission after meloxicam discontinuation. We herein emphasize the value of an endoscopic assessment of the entire digestive tract in the diagnosis of NSAID-induced mucosal lesions.