EDITOR'S QUIZ: GI SNAPSHOT
A unusual cause of anaemia
Department of Internal Medicine, General Hospital, Innichen, Italy
Correspondence to:
Correspondence to:
Professor G Neumayr
Department of Internal Medicine, General Hospital Innichen, Freisingstrasse 2, I-39038 Innichen, Italy; guenther.neumayr@sb-bruneck.it
Keywords: anaemia; foreign body
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A 17 year old girl presented with increasing fatigue, paleness, and recurring episodes of abdominal pain. Physical examination was unremarkable except for a moderate pressure pain in the right upper quadrant. Laboratory evaluation revealed microcytic hypochromic anaemia (haemoglobin 10.7 g/dl) due to iron deficiency (serum iron 9 µg/dl, transferrin saturation 1.9%, and plasma ferritin 5 µg/dl). Oesophagogastroduodenoscopy was performed (fig 1
).
[in a new window] Figure 1 Endoscopic image of the upper duodenum.
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What abnormality was found in the duodenum? Could we remove it?
See page 1077 for answer
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Gut 2006 55: 1077.[Extract] [Full Text] [PDF]
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