Iron Deficiency Anaemia Caused by Nonspecific (Idiopathic) Small Bowel Ulceration: An Uncommon Presentation of an Uncommon Disease
Ulcers of the small bowel are rare, and in most cases are due to infections, inflammatory bowel diseases, malignancies or drugs. When none of these causes is recognized, they are classified as ‘nonspecific’ or idiopathic. Such lesions are uncommon, and in most cases present with occlusion. A case of...
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| Format: | Article |
| Language: | English |
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Wiley
2002-01-01
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| Series: | Canadian Journal of Gastroenterology |
| Online Access: | http://dx.doi.org/10.1155/2002/451641 |
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| author | Gabriele Capurso Edith Lahner Nadia Pallotta Francesco Panzuto Gianfranco Delle Fave Bruno Annibale |
| author_facet | Gabriele Capurso Edith Lahner Nadia Pallotta Francesco Panzuto Gianfranco Delle Fave Bruno Annibale |
| author_sort | Gabriele Capurso |
| collection | DOAJ |
| description | Ulcers of the small bowel are rare, and in most cases are due to infections, inflammatory bowel diseases, malignancies or drugs. When none of these causes is recognized, they are classified as ‘nonspecific’ or idiopathic. Such lesions are uncommon, and in most cases present with occlusion. A case of a middle-aged woman with iron deficiency anemia due to occult bleeding, with negative gastroscopy and colonoscopy is presented. The diagnosis of a small bowel pathology resembling Crohn’s disease was made by small bowel follow through and small intestine contrast ultrasonography. An ileal ulcer was identified at surgery, and after resection the patient experienced a stable recovery from the anemia without ulcer recurrence. Neither histology nor clinical or biochemical features suggested the diagnosis of an inflammatory bowel disease. Other possible causes were unlikely and the lesion was therefore diagnosed as idiopathic. This report also focuses on the need and the modality to investigate the small bowel in iron deficiency anemia patients. |
| format | Article |
| id | doaj-art-16e2ad43425641768e7fe78c2596bc95 |
| institution | Kabale University |
| issn | 0835-7900 |
| language | English |
| publishDate | 2002-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Canadian Journal of Gastroenterology |
| spelling | doaj-art-16e2ad43425641768e7fe78c2596bc952025-02-03T01:07:03ZengWileyCanadian Journal of Gastroenterology0835-79002002-01-01161285585910.1155/2002/451641Iron Deficiency Anaemia Caused by Nonspecific (Idiopathic) Small Bowel Ulceration: An Uncommon Presentation of an Uncommon DiseaseGabriele Capurso0Edith Lahner1Nadia Pallotta2Francesco Panzuto3Gianfranco Delle Fave4Bruno Annibale5Digestive and Liver Disease Unit II Medical School, Ospedale Sant’Andrea, Rome, ItalyDigestive and Liver Disease Unit II Medical School, Ospedale Sant’Andrea, Rome, ItalyDepartment of Clinical Science, University La Sapienza, Rome, ItalyDigestive and Liver Disease Unit II Medical School, Ospedale Sant’Andrea, Rome, ItalyDigestive and Liver Disease Unit II Medical School, Ospedale Sant’Andrea, Rome, ItalyDigestive and Liver Disease Unit II Medical School, Ospedale Sant’Andrea, Rome, ItalyUlcers of the small bowel are rare, and in most cases are due to infections, inflammatory bowel diseases, malignancies or drugs. When none of these causes is recognized, they are classified as ‘nonspecific’ or idiopathic. Such lesions are uncommon, and in most cases present with occlusion. A case of a middle-aged woman with iron deficiency anemia due to occult bleeding, with negative gastroscopy and colonoscopy is presented. The diagnosis of a small bowel pathology resembling Crohn’s disease was made by small bowel follow through and small intestine contrast ultrasonography. An ileal ulcer was identified at surgery, and after resection the patient experienced a stable recovery from the anemia without ulcer recurrence. Neither histology nor clinical or biochemical features suggested the diagnosis of an inflammatory bowel disease. Other possible causes were unlikely and the lesion was therefore diagnosed as idiopathic. This report also focuses on the need and the modality to investigate the small bowel in iron deficiency anemia patients.http://dx.doi.org/10.1155/2002/451641 |
| spellingShingle | Gabriele Capurso Edith Lahner Nadia Pallotta Francesco Panzuto Gianfranco Delle Fave Bruno Annibale Iron Deficiency Anaemia Caused by Nonspecific (Idiopathic) Small Bowel Ulceration: An Uncommon Presentation of an Uncommon Disease Canadian Journal of Gastroenterology |
| title | Iron Deficiency Anaemia Caused by Nonspecific (Idiopathic) Small Bowel Ulceration: An Uncommon Presentation of an Uncommon Disease |
| title_full | Iron Deficiency Anaemia Caused by Nonspecific (Idiopathic) Small Bowel Ulceration: An Uncommon Presentation of an Uncommon Disease |
| title_fullStr | Iron Deficiency Anaemia Caused by Nonspecific (Idiopathic) Small Bowel Ulceration: An Uncommon Presentation of an Uncommon Disease |
| title_full_unstemmed | Iron Deficiency Anaemia Caused by Nonspecific (Idiopathic) Small Bowel Ulceration: An Uncommon Presentation of an Uncommon Disease |
| title_short | Iron Deficiency Anaemia Caused by Nonspecific (Idiopathic) Small Bowel Ulceration: An Uncommon Presentation of an Uncommon Disease |
| title_sort | iron deficiency anaemia caused by nonspecific idiopathic small bowel ulceration an uncommon presentation of an uncommon disease |
| url | http://dx.doi.org/10.1155/2002/451641 |
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