A patient with anemia of obscure origin: Crohn's disease in disguise
| Autor: | Young-In Kim, Cathy J. Streutker, Khursheed N. Jeejeebhoy, M. Bernadette Garvey, Arthur H. Zalev, Elena Dubcenco, Jeffrey P. Baker |
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| Rok vydání: | 2006 |
| Předmět: |
Male
Laparoscopic surgery medicine.medical_specialty medicine.medical_treatment Colonoscopy Anastomosis Gastroenterology law.invention Diagnosis Differential Crohn Disease Capsule endoscopy law Internal medicine Intestine Small medicine Humans Medical history Endoscopy Digestive System Intestinal Mucosa Mesalamine Aged Crohn's disease Anemia Iron-Deficiency Hepatology medicine.diagnostic_test Esophagogastroduodenoscopy business.industry Anti-Inflammatory Agents Non-Steroidal beta-Thalassemia Fecal occult blood General Medicine medicine.disease digestive system diseases Occult Blood Radiology business |
| Zdroj: | Nature Clinical Practice Gastroenterology & Hepatology. 3:229-233 |
| ISSN: | 1743-4386 1743-4378 |
| Popis: | Background A 65-year-old white Mediterranean male with a 10-year history of intermittent anemia, who was otherwise completely asymptomatic, was referred to our hospital in March 2004. He had a medical history of beta thalassemia and fecal occult blood tests had occasionally been positive. Investigations Fecal occult blood test, laboratory investigations, esophagogastroduodenoscopy, colonoscopy with retrograde ileoscopy, mesenteric angiography, small-bowel series, CT scan of the abdomen and pelvis, Meckel's scan, and capsule endoscopy. Laparoscopic surgery followed by macroscopic and microscopic histopathologic examination of samples obtained during the procedure. Diagnosis Crohn's disease of the small bowel. Management Laparoscopic segmental small-bowel resection with end-to-end anastomosis. Postsurgical treatment with Pentasa® 4 g a day. |
| Databáze: | OpenAIRE |
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