Complicated Cases in GI

Anthony Kalloo, MD; Jonathan M. Buscaglia, MD

Chapter 20: Small Bowelarterio-Venous Malformation (continued)

Karen Krok, MD

A 58-year-old active and healthy African-American man presented to his primary care physician complaining of fatigue while playing basketball. He was found to have a microcytic anemia with a hematocrit level of 21%. He also noted a few episodes of dark stools. His physician admitted him to the hospital and an esophagogastroduodenoscopy (EGD), colonoscopy, and small bowel follow-through were performed without significant findings. He received 2 units of packed red blood cells and was discharged on iron supplementation. Two weeks later, he presented to the hospital with continued complaints of…