A patient with long-standing iron-deficient anemia.
BACKGROUND
A 36-year-old Chinese woman presented with cutaneous lupus and was incidentally found to have iron-deficient anemia. She had a history of iron-deficient anemia 13 years previously, for which extensive investigations were carried out; the results of which were all normal. The patient also had pulmonary tuberculosis at that time, for which she received a full course of treatment. She required periodic blood transfusions and iron supplements to maintain her hemoglobin levels. She was subsequently discharged to a family clinic for follow-up until the current presentation.


METHODS
Upper endoscopy, colonoscopy, barium meal follow-through, small-bowel enema, (99m)Tc-labeled red-cell scan and double-balloon enteroscopy.


METHODS
Iron-deficient anemia due to obscure gastrointestinal bleeding caused by two small-bowel hemangiomas.


RESULTS
Laparoscopic surgery.
Chan
Annie On On
AO
Department of Medicine, University of Hong Kong, Pokfulam, Hong Kong. aoochan@hkucc.hku.hk
Lai
Kam Chuen
KC
D000328:Adult; D018798:Anemia, Iron-Deficiency / Q000175:diagnosis* / Q000209:etiology* / Q000628:therapy; D001803:Blood Transfusion; D003937:Diagnosis, Differential; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000150:complications*; D006391:Hemangioma / Q000150:complications*; D006801:Humans; D033162:Incidental Findings; D007414:Intestinal Neoplasms / Q000150:complications*; D007421:Intestine, Small; D007501:Iron / Q000627:therapeutic use
D007501:Iron