Jejunal Carcinoma – An Unusual Undiagnosed Cause of Anemia: A Case Report.

ABSTRACT

A 46-year-old male presented with features of anemia. On evaluation, there was iron deficiency. No source of bleeding could be located by upper and lower gastrointestinal endoscopy. Computed tomography (CT) scan and Mantoux test had evidence of tuberculosis. He deteriorated with antitubercular therapy. He improved only after laparotomy, a diagnostic laparoscopy and resection of the bleeding malignant lesion. It turned out to be jejunal cancer. Seven years after chemotherapy, he is surviving disease free. In undiagnosed iron-deficiency anemia, small bowel growth should be considered and diagnostic laparoscopy should be done to avoid confusion in diagnosis.