A Curious Case of Iron-Deficiency Anemia
A 49-year-old Brazilian male presented to the emergency department with a five-day history of abdominal pain, dark stools, and syncope. Physical examination did not reveal any melena on digital rectal examination and there were no stigmata of chronic liver disease. Laboratory results showed hemoglob...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Canadian Journal of Gastroenterology and Hepatology |
| Online Access: | http://dx.doi.org/10.1155/2016/8954308 |
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| author | Seth Shaffer Mayur Brahmania Hemant Shah |
| author_facet | Seth Shaffer Mayur Brahmania Hemant Shah |
| author_sort | Seth Shaffer |
| collection | DOAJ |
| description | A 49-year-old Brazilian male presented to the emergency department with a five-day history of abdominal pain, dark stools, and syncope. Physical examination did not reveal any melena on digital rectal examination and there were no stigmata of chronic liver disease. Laboratory results showed hemoglobin of 47 g/L, MCV of 80 fL, and ferritin of 6 ng/mL. Liver enzymes and liver function tests were normal. Abdominal ultrasound showed a cirrhotic liver with splenomegaly and varices suggestive of portal hypertension. His past history was significant for cirrhosis based on a previous variceal bleed but a workup for chronic liver disease was negative and a liver biopsy did not show steatosis, fibrosis, or cirrhosis. A gastroscopy in this admission showed large esophageal varices without high-risk stigmata and no overt bleeding was seen. A colonoscopy was subsequently completed to the terminal ileum and was normal aside from a 5 mm sessile polyp in the descending colon. |
| format | Article |
| id | doaj-art-b428783e201240c19388d300ac1555b9 |
| institution | Kabale University |
| issn | 2291-2789 2291-2797 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Canadian Journal of Gastroenterology and Hepatology |
| spelling | doaj-art-b428783e201240c19388d300ac1555b92025-02-03T06:12:16ZengWileyCanadian Journal of Gastroenterology and Hepatology2291-27892291-27972016-01-01201610.1155/2016/89543088954308A Curious Case of Iron-Deficiency AnemiaSeth Shaffer0Mayur Brahmania1Hemant Shah2Department of Medicine, Queen’s University, Kingston General Hospital, Kingston, ON, K7L 2V7, CanadaToronto Centre for Liver Diseases, Toronto General Hospital, University Health Network, Toronto, ON, M5G 2C4, CanadaToronto Centre for Liver Diseases, Toronto General Hospital, University Health Network, Toronto, ON, M5G 2C4, CanadaA 49-year-old Brazilian male presented to the emergency department with a five-day history of abdominal pain, dark stools, and syncope. Physical examination did not reveal any melena on digital rectal examination and there were no stigmata of chronic liver disease. Laboratory results showed hemoglobin of 47 g/L, MCV of 80 fL, and ferritin of 6 ng/mL. Liver enzymes and liver function tests were normal. Abdominal ultrasound showed a cirrhotic liver with splenomegaly and varices suggestive of portal hypertension. His past history was significant for cirrhosis based on a previous variceal bleed but a workup for chronic liver disease was negative and a liver biopsy did not show steatosis, fibrosis, or cirrhosis. A gastroscopy in this admission showed large esophageal varices without high-risk stigmata and no overt bleeding was seen. A colonoscopy was subsequently completed to the terminal ileum and was normal aside from a 5 mm sessile polyp in the descending colon.http://dx.doi.org/10.1155/2016/8954308 |
| spellingShingle | Seth Shaffer Mayur Brahmania Hemant Shah A Curious Case of Iron-Deficiency Anemia Canadian Journal of Gastroenterology and Hepatology |
| title | A Curious Case of Iron-Deficiency Anemia |
| title_full | A Curious Case of Iron-Deficiency Anemia |
| title_fullStr | A Curious Case of Iron-Deficiency Anemia |
| title_full_unstemmed | A Curious Case of Iron-Deficiency Anemia |
| title_short | A Curious Case of Iron-Deficiency Anemia |
| title_sort | curious case of iron deficiency anemia |
| url | http://dx.doi.org/10.1155/2016/8954308 |
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