EDITOR'S QUIZ: GI SNAPSHOT
Answer
| The first 150 words of the full text of this article appear below. |
From question on page 1064
Oesophagogastroduodenoscopy revealed a perforating plastic husk in the upper duodenum which could not be removed interventionally. The foreign body’s free distal end caused a non-bleeding duodenal ulcer by mechanical irritation (fig 2
). The proximal end was fixed and ingrown into the intestinal wall. At laparotomy the foreign body was found to be a ballpoint pen (fig 3) which the patient had swallowed six years ago as a bet. At that time she did not tell the incidence to her mother and she herself forgot it since she had no symptoms for years. After surgery, the "ballpen-anaemia" resolved completely (haemoglobin 14.7 g/dl). Iron deficiency anaemia is the most common form of anaemia encountered in clinical practice and is an extremely common manifestation of chronic occult gastrointestinal bleeding. Standard care therefore includes evaluation of the gastrointestinal tract to rule out possible bleeding sites.
[in a new window] Figure 2 Duodenal ulcer.
| |||||||||
[in a new window]
Figure 3 The | |||||||||
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
Relevant Article
- A unusual cause of anaemia
- G Neumayr and G Kuehebacher
Gut 2006 55: 1064.[Extract] [Full Text] [PDF]
Services
- Email this link to a friend
- Similar articles in this journal
- Add article to my folders
- Download to citation manager
- Request Permissions
Citing Articles
Google Scholar
Topic Collections
Bookmark with
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
