Year 2023 / Volume 115 / Number 6
Letter
A rare cause of obscure gastrointestinal bleeding

326

DOI: 10.17235/reed.2022.9156/2022

Margarida Gonçalves, Bruno Gonçalves, Joana Sobreiro Silva, Isabel Marques, Angela Rodrigues, Ana Rebelo,

Abstract
A 62-year-old woman was referred to Gastroenterology appointment due to severe iron deficiency anemia (5.9 g/dL), complaining of asthenia and requiring blood transfusion. The patient denied blood loss. Initial blood test showed a severe iron deficiency, with ferritin of 5ng/mL and transferrin saturation of 2.7%. Folic acid and vitamin B12 were normal. Upper gastroscopy and colonoscopy didn’t show any lesions. Abdominopelvic CT and capsule endoscopy were, also, normal.
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References
1- Dualim D, Loo G, Rajan R, et al. “Jejunal GIST: Hunting down an unusual cause of gastrointestinal bleed using double balloon enteroscopy. A case report”. Int J Surg Case Rep. 2019; 60: 303–306. DOI: 10.1016/j.ijscr.2019.06.053.
2- Baniya R, Upadhaya S, Subedi SC, et al. Balloon enteroscopy versus spiral enteroscopy for small-bowel disorders: a systematic review and meta-analysis. Gastrointest Endosc 2017. 86(6):997-1005. DOI: 10.1016/j.gie.2017.06.015.
3- Gomes C, Pinho R, Ponte A, et al. Timing of enteroscopy in overt-obscure gastrointestinal bleeding: a systematic review and meta-analysis. REV ESP ENFERM DIG 2021 Sep. 113(9):656-669. DOI: 10.17235/reed.2021.7976/2021
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Gonçalves M, Gonçalves B, Silva J, Marques I, Rodrigues A, Rebelo A, et all. A rare cause of obscure gastrointestinal bleeding. 9156/2022


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Publication history

Received: 26/08/2022

Accepted: 01/09/2022

Online First: 12/09/2022

Published: 06/06/2023

Article Online First time: 17 days

Article editing time: 284 days


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