A 62-year-old man with findings of chronic iron deficiency anemia and weight loss. Symptoms included intermittent rectal bleeding alternated with black stools.
A 62-year-old man presented with findings of chronic iron deficiency anemia. Symptoms included intermittent rectal bleeding alternated with black stools.
History
Physical exam remarkable for cachectic man with more than 20 pounds weight loss. No lymphadenopathy.
Findings
Upper and lower endoscopy remarkable for severe esophagitis. CT with findings of duplicated pancreas, with annular configuration of the duplication causing gastric outlet obstruction.
CT Axial
MRI confirmed tissue arising ventrally from the pancreatic body, with typical pancreatic cobblestoning. Isointense to the pancreatic parenchyma in all sequences.
MRI Axial
The antroduodenum was encircled demonstrating abundant intraluminal ingested material admixed with fluid throughout stomach. No peripancreatic inflammatory changes or fluid collections. No lymphadenopathy was identified.
Treatment
Patient was treated symptomatically. Iron supplement and MTV were added to therapy. Marked increased in HGB (From 7 to 12 G/DL with almost normal MCV). CMP without significant lytes disturbance.
Hiram Ortega-Cruz, MD, is a gastroenterology fellow, VA Caribbean Health Care System (VACHS), San Juan , PR.
Eduardo Acosta-Pumarejo, MD is on the radiology staff, VACHS, San Juan , PR.
ASCO: Study Reveals Significant Racial/Ethnic Disparities with PSMA PET Use for Patients with mPCa
May 30th 2025Latinx patients with metastatic prostate cancer were 63 percent less likely than non-Hispanic White patients to have PSMA PET scans, according to a study of 550 patients presented at the American Society of Clinical Oncology (ASCO) conference.
Lunit Unveils Enhanced AI-Powered CXR Software Update
May 28th 2025The Lunit Insight CXR4 update reportedly offers new features such as current-prior comparison of chest X-rays (CXRs), acute bone fracture detection and a 99.5 percent negative predictive value (NPV) for identifying normal CXRs.
New MRI Study Questions Use of Corticosteroid Injections for Knee OA
May 27th 2025Two years after intraarticular knee injections for knee osteoarthritis (OA), study participants who had corticosteroid knee injections had greater OA progression than control patients while the use of hyaluronic acid injections was associated with less OA progression.