An Unusual Finding During Evaluation of Iron Deficiency

Question: A 74-year-old vegetarian woman with a medical history significant for severe nonischemic dilated cardiomyopathy, chronic obstructive pulmonary disease, stage IV chronic kidney disease, hypertension, atrial fibrillation on chronic warfarin, and right-sided breast cancer treated with mastectomy>20 years ago, presented for evaluation of fatigue and a 16-year history of iron deficiency anemia. History was notable for an absence of melena, hematemesis, and bright red blood per rectum. Six years prior, she had undergone an upper endoscopy, which identified a Dieulafoy lesion that was treated with cauterization.
Source: Gastroenterology - Category: Gastroenterology Authors: Tags: Clinical Challenges and Images in GI Source Type: research