Radiation enteritis diagnosed through capsule endoscopy, an uncommon cause of iron-deficiency anemia.
نویسندگان
چکیده
A 66-year-old woman was operated on in 1988 for an endometrial adenocarcinoma, after which she received adjuvant radiotherapy. The patient presented with 6month, progressive iron-deficiency anemia. A complete endoscopic study (esophago-gastrosco-duodenoscopy and ileocolonoscopy) was performed; mucosal edema with superficial whitish spots in the terminal ileum (fig. 1A) was observed. Nonspecific chronic inflammation was reported in the histology study. To evaluate extension and small bowel involvement, a video capsule endoscopy was indicated. Diffuse and continuous involvement of the mucosa from the proximal jejunum to the terminal ileum was detected. The mucosal lesions ranged from mild edema with preservation
منابع مشابه
Previously unknown stricture due to radiation therapy diagnosed by capsule endoscopy.
Radiation enteritis is a complex clinical entity secondary to the affectation of intestinal epithelial cells as a result of radiation in the management of pelvic malignancies that may occasionally cause intestinal strictures. We present the case of a 60 year-old woman who had been diagnosed ten years before with endometrial adenocarcinoma, and who underwent hysterectomy with double adnexectomy ...
متن کاملA case of cryptogenic multifocal ulcerous stenosing enteritis: differential diagnosis from Crohn's disease.
Cryptogenic multifocal ulcerous stenosing enteritis is a rare idiopathic disease of the small bowel. Its origin and pathophysiology have not been established. Clinicopathologic features include unexplained small bowel strictures with superficial ulceration, chronic or relapsing occlusion episodes. A 44-year-old man complained of recurrent colicky abdominal pain and dizziness. Laboratory tests i...
متن کاملCapsule Endoscopy Demonstrating Blood Sucking Hookworms as A Cause of Obscure Gastrointestinal Bleeding
Hookworm infestation will usually present with iron deficiency anemia. In this report we present a case of obscure overt gastrointestinal bleeding occuring from last two years in a young individual, requiring 50 units of blood transfusion. He was diagnosed with hookworm infection on a capsule endoscopy, which demonstrated dancing worms buried in the mucosa of small bowel and were actively sucki...
متن کاملSingle Cavernous Hemangioma of the Small Bowel Diagnosed by Using Capsule Endoscopy in a Child with Chronic Iron-Deficiency Anemia
Cavernous hemangiomas of the gastrointestinal tract are extremely rare. In particular, the diagnosis of small bowel hemangiomas is very difficult in children. A 13-year-old boy presented at the outpatient clinic with dizziness and fatigue. The patient was previously diagnosed with iron-deficiency anemia at 3 years of age and had been treated with iron supplements continuously and pure red cell ...
متن کاملHookworm Infection: A Neglected Cause of Overt Obscure Gastrointestinal Bleeding
Hookworm infections are widely prevalent in tropical and subtropical areas, especially in low income regions. In the body, hookworms parasitize the proximal small intestine, leading to chronic intestinal hemorrhage and iron deficiency anemia. Occasionally, hookworms can cause overt gastrointestinal bleeding, but this is often ignored in heavily burdened individuals from endemic infectious areas...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Revista de gastroenterologia de Mexico
دوره 82 4 شماره
صفحات -
تاریخ انتشار 2017