Surgical treatment of anaemia – is it possible? Large hiatal hernia as a cause of severe iron-deficiency anaemia

Wiktoria B. Feret; Magdalena Nalewajska; Kazimierz Ciechanowski

doi:10.5114/pg.2022.118453

eISSN: 1897-4317
ISSN: 1895-5770

Gastroenterology Review/Przegląd Gastroenterologiczny

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vol. 17

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Surgical treatment of anaemia – is it possible? Large hiatal hernia as a cause of severe iron-deficiency anaemia

Wiktoria B. Feret

¹

,

Magdalena Nalewajska

¹

,

Kazimierz Ciechanowski

¹

Clinical Department of Nephrology, Transplantology and Internal Medicine, Pomeranian Medical University, Szczecin, Poland

Gastroenterology Rev 2022; 17 (3): 248–249

DOI: https://doi.org/10.5114/pg.2022.118453

Data publikacji online: 2022/08/03

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Metryki PlumX:

A 65-year-old woman was referred to the Department of Internal Medicine due to severe microcytic anaemia. She complained of progressive fatigue for the past 4 months. Clinical examination revealed pallor and tenderness to palpation in the upper abdomen; per rectum examination did not reveal any signs of active gastrointestinal bleeding. Laboratory tests demonstrated substantial iron-deficiency anaemia with haemoglobin and iron levels of 6.8 g/dl (norm: 12.3–16 g/dl) and 12 µg/dl (norm: 33–193 µg/dl), respectively, and MCV 66.5 fl (norm: 81–101 fl). Other serum parameters, including the concentration of gastrointestinal tumour markers and coagulation panel, remained within the reference range. Her medical history was relevant for upper-gastrointestinal bleeding, oesophagitis grade B in LA classification, Helicobacter pylori infection, and hypertension. She had previously been repeatedly hospitalized for symptomatic microcytic anaemia with the need for blood transfusions and IV iron infusions because she did not tolerate oral iron supplementation.

Surgical treatment of anaemia – is it possible? Large hiatal hernia as a cause of severe iron-deficiency anaemia

Wiktoria B. Feret 1 , Magdalena Nalewajska 1 , Kazimierz Ciechanowski 1

Wiktoria B. Feret

¹

,

Magdalena Nalewajska

¹

,

Kazimierz Ciechanowski

¹