Case of the Week: Constipation, Iron Deficiency Anemia and Positive Fecal Occult Blood. Is it Colon Cancer?

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Constipation, Iron Deficiency Anemia and Positive Fecal Occult Blood. Is it Colon Cancer? Not So Fast

A 73-year-old Caucasian male (CM) who was never followed by a doctor is admitted to the hospital with chief complaints (CC) of constipation, profound weakness and exertional chest pain.

CBC showed anemia with hemoglobin (Hgb) 5.7 mg/dL. His EGD and Colonoscopy are shown below.


EGD


Colonoscopy

What is the most likely diagnosis?

Read more at Clinical Cases and Images.

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2 comments:

  1. i think its a chron's disease

    ReplyDelete
  2. Hi ahm,

    This is not Crohn's disease for the following reasons:

    1. The age of onset is atypical. Crohn's starts in younger patients.

    2. No changes of Crohn's on EGD/C-scope.

    ReplyDelete

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