A rare cause of iron deficiency anemia: Jejunal carcinoid - diagnosis and therapy by push-type enteroscopy

We report a 66-year-old patient with previously diagnosed iron deficiency a nemia. He complained of fatigue, but had no further symptoms. Hemoglobin wa s 9.1 g/dl. Test for occult blood in stool was positive, but gastroduodenos copy and colonoscopy revealed no bleeding source. The man was referred to o ur department for push-type enteroscopy. By enteroscopy we diagnosed a pedu nculated, large polyp in the upper jejunum. The polyp seemed to be submucos al, but had some ulcerations on its surface as the probable bleeding source . In the lower parts of the small intestine no further polyps were detected . After endoscopic doppler examination we injected adrenaline into the base of the polyp to prevent bleeding and the polyp was removed by snare withou t complications. The polyp was diagnosed to be a carcinoid and was removed in sano.