Thumbnail
Access Restriction
Open

Author Ewing, Donald ♦ Brozovich, Ava ♦ Burns, Ethan ♦ Acosta, Gonzalo ♦ Hatcher, Courtney ♦ Patel, Pragnesh ♦ Anton, Rose ♦ Abraham, Bincy ♦ Samuel, Leena
Editor Giouleme, Olga I.
Source Hindawi
Content type Text
Publisher Hindawi
File Format PDF
Copyright Year ©2019
Language English
Abstract Iron deficiency is the most common etiology of anemia worldwide and is often managed with varying methods of iron supplementation. Although rare, oral iron supplementation can perpetuate iron deficiency anemia by causing gastric ulceration and upper gastrointestinal bleeding in high-risk populations. However, this complication has not been previously described with intravenous iron supplementation. We present a case of a 63-year-old male with severe iron deficiency anemia on biweekly intravenous iron infusions and weekly packed red blood cell transfusions who presented with melena over several months. Upper endoscopy demonstrated a clean-based gastric body ulcer and nonbleeding gastric varices. Histology of the gastric ulcer was suggestive of iron-induced gastric mucosal injury. This case demonstrates that frequent utilization of intravenous iron and packed red blood cell transfusions may predispose certain patients to the development of iron-induced gastritis and ulceration.
ISSN 20906528
Learning Resource Type Report
Publisher Date 2019-04-18
Rights License This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
e-ISSN 20906536
Journal Case Reports in Gastrointestinal Medicine
Volume Number 2019
Page Count 4


Open content in new tab

   Open content in new tab