A patient with long-standing iron-deficient anemia

Nat Clin Pract Gastroenterol Hepatol. 2006 Feb;3(2):112-6; quiz 117. doi: 10.1038/ncpgasthep0413.


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.

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

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

Management: Laparoscopic surgery.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anemia, Iron-Deficiency / diagnosis*
  • Anemia, Iron-Deficiency / etiology*
  • Anemia, Iron-Deficiency / therapy
  • Blood Transfusion
  • Diagnosis, Differential
  • Female
  • Gastrointestinal Hemorrhage / complications*
  • Hemangioma / complications*
  • Humans
  • Incidental Findings
  • Intestinal Neoplasms / complications*
  • Intestine, Small
  • Iron / therapeutic use


  • Iron