Objectives: In this study our purpose was to determine the endoscopic appearances in H.
Gastric cancer hemolytic anemia a diagnostic method for H. Results: Regarding the variation of the endoscopic aspects at the population of study, we have found gastritis with all its aspects which was Sidney classified in the biggest percentage meaning Material and method: The patient was extensively evaluated before presentation for a mild iron - deficiency anemia for which she underwent endoscopic examination of the upper and lower gastrointestinal tract- normal.
These changes along with the marked reticulocytosis on the gastric cancer hemolytic anemia blood smear oriented us towards a hemolytic anemia; Folic acid, vitamin B12, autoimmune tests and hemolytic tests were all normal. We continued the investigations with a thoraco-abdominopelvic computed tomography which identified diffuse demineralization, vertebral compactation and pelvic stress fractures.
The breast examination revealed a right breast nodule, but the breast ultrasonography pleaded for benignity. Lacking a clear definitive diagnosis we decided to perform a bone marrow biopsy.
Results: The osteo- medullary biopsy pointed towards a medullar invasion from a lobular mammary carcinoma; In these circumstances we performed an ultrasound guided biopsy of the right mammary lump thus histologically confirming a tumoral invasion of the bone marrow with subsequent anemia.
The patient started chemotherapy in the Oncology ward. Conclusion: The particularity of this case consists in the pattern of anemia, which initially seemed iron deficient and afterwards macrocytic — apparently hemolytic and was actually due to the tumoral medullar invasion and also the nonspecific ultrasonographic appearance of the breast tumor.
Case report — hepatocytolytic syndrome hiding mesenteric venous ischemia Author : Andrada Popescu, Andrei Gavrila, Petru?