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A 52-year-old man was admitted to the hospital because of an attack of severe abdominal pain.
During the preceding four years, the patient had been evaluated repeatedly for chronic iron-deficiency anemia, but no cause had been identified despite an upper gastrointestinal endoscopic and colonoscopic examination, a barium-enema study, and an upper gastrointestinal series with a small-bowel follow-through study. Microscopical examination of a bone marrow specimen was nondiagnostic. Repeated stool tests for occult blood were negative. Another, more recent colonoscopic examination was again negative. The patient's daily medications were ferrous sulfate (500 to 1000 mg), enteric-coated aspirin (81 mg), and a
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Clinical Diagnosis
Dr. Farhad Navab's Diagnosis
Pathological Discussion
Anatomical Diagnosis
References
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