title: Iron deficiency anemia, backache, and abdominal pain attacks during sexual intercourse in a 42-year-old woman.
abstract: BACKGROUND
  Gastrointestinal bleeding is a common diagnostic problem. We describe here a 42-year-old woman who had iron deficiency anemia that went undiagnosed for 8 years.
  She had a 'blood spray' when crouching, backache, and abdominal pain attacks during sexual intercourse. Defecography, but neither clinical examination nor endoscopy, demonstrated abnormal mobility of the rectal mucosa associated with other pelvic floor abnormalities.
  
  
  METHODS
  After rectopexy, the bleeding stopped, and the blood values normalized.
authors.affiliation: Dept. of Internal Medicine, University of Oulu, Finland.
authors.forename: S
authors.initials: S
authors.lastname: Mulari
authors.forename: M
authors.initials: M
authors.lastname: Mustonen
authors.forename: E A
authors.initials: EA
authors.lastname: Sotaniemi
mesh_terms: D015746:Abdominal Pain / Q000209:etiology*; D000328:Adult; D018798:Anemia, Iron-Deficiency / Q000209:etiology*; D001416:Back Pain / Q000209:etiology*; D003075:Coitus; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000150:complications* / Q000209:etiology; D006801:Humans; D007744:Obstetric Labor Complications; D017773:Pelvic Floor / Q000293:injuries*; D011247:Pregnancy; D013997:Time Factors