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Small bowel and nutrition
Inside view
Elusive cause of iron deficiency anaemia
  1. Tony He1,
  2. Michael MacIsaac1,
  3. Christopher Hair2,3,
  4. Julien D Schulberg1,4
  1. 1 Gastroenterology, St Vincent's Hospital Melbourne, Fitzroy, Victoria, Australia
  2. 2 School of Medicine, Deakin University, Geelong, Victoria, Australia
  3. 3 Gastroenterology, Barwon Health, Geelong, Victoria, Australia
  4. 4 Department of Medicine, Melbourne Medical School, The University of Melbourne, Melbourne, Victoria, Australia
  1. Correspondence to Dr Julien D Schulberg, Gastroenterology, St Vincent's Hospital Melbourne Pty Ltd, Fitzroy, VC 3065, Australia; julien.schulberg{at}svha.org.au

https://doi.org/10.1136/flgastro-2020-101699

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    Introduction

    A 58-year-old woman presented to our clinic with the diagnostic and management issue of severe symptomatic iron deficiency anaemia. She described generalised abdominal discomfort but no overt evidence of gastrointestinal (GI) bleeding, loss of weight, nausea, vomiting or diarrhoea. She had no significant medical history or any regular medications. She was an avid exerciser and had walked the Kokoda Trail in Papua New Guinea 12 months prior. Her biochemistry revealed a haemoglobin of 92 g/L with a mean corpuscular volume (MCV) of 65 fL and an undetectable ferritin (<6 µg/L). Her transferrin saturation …

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    Footnotes

    • Contributors TH: literature review and manuscript write up. MM: manuscript write up. CH: capsule endoscopy review. JDS: provision of images and video and manuscript write up.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.