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There was a benign stricture with early diaphragm formation and ulceration at the hepatic flexure. The patient had been on long-term diclofenac, as required. Her only other medication was spasmonal, again on an as required basis. The endoscopic appearances are well described in non-steroidal anti-inflammatory drug (NSAID)-related colopathy.13 Histology confirmed the presence of granulation tissue in the lamina propria and very mild neutrophilic cryptitis, in keeping with active inflammation. There was evidence of crypt distortion indicating chronicity too, in this case. There was no evidence to suggest collagenous …

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