An old male presented with per-rectal bleeding at the gastrointestinal department of a general hospital. After investigation with endoscopy, colonoscopy, and polypectomy, the patient continued to have abdomen pain.
Case presentation A 74-year-old male presented with melaena which occurred at a random frequency of one or 2twoepisodes per day. History Anemia with Hb 7.1 % Received 4 units of blood transfusion Physical examination Grave pale look Heart rate – 92/min BP – 110/70 mm Hg Respiratory Rate – 16/min Weight – 49 kg No clubbing, lymphadenopathy, skin lesion BMI 19.6 kg/m 2 Smooth and shiny tongue Soft, mild, and tender abdomen Laboratory examination Hemoglobin – 6.3gm/dl Peripheral blood films displayed dimorphic anemia WBC count – 9690/cmm Erythrocyte sedimentation rate (ESR) – 90 mm in 1st hour Serum electrolytes and creatinine – unremarkable Serological tests – Anti…
