TY - BOOK AU - Vadhwana, B. AU - Mohite, U. AU - Collins, C. TI - A premenopausal woman with abdominal discomfort and iron deficiency anaemia PY - 2015/// N1 - NMUH Staff Publications; 351 N2 - <span style="font-family: FreeSerif; font-size: 10pt;"></span><p align="left"><span style="font-family: Arial;">A 48 year old premenopausal woman presented to our clinic <span>with a 12 month history of intermittent abdominal discomfort <span style="font-family: Arial;"><span>associated with bloating, constipation, and weight loss of 6.3 <span>kg. Her medical history included chronic iron deficiency <span style="font-family: Arial;"><span>anaemia, vitamin D deficiency, and episodes of fresh rectal <span>bleeding caused by haemorrhoids, which required sclerotherapy. <span style="font-family: Arial;"><span>She had undergone a diagnostic laparoscopy for abdominal <span>pains, which did not detect any abnormalities. There was no <span style="font-family: Arial;"><span>family history of colorectal cancer. On examination she looked <span>well, weighed 50 kg, with a body mass index of 20. Her <span style="font-family: Arial;"><span>abdomen was soft, non-tender, and without palpable masses. <span>The results of a digital rectal examination were normal. Routine <span style="font-family: Arial;"><span>blood tests showed iron deficiency anaemia, with haemoglobin <span>109 g/L (reference range 117-155), mean corpuscular volume <span style="font-family: Arial;">80.6 fL (80-100), mean corpuscular haemoglobin 27.3 pg/cell <span style="font-family: Arial;">(27-33), and ferritin 4 ng/mL (10-232).</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p><span style="font-size: 10pt;">&nbsp;</span> UR - https://www.ncbi.nlm.nih.gov/pubmed/26338052 UR - http://www.bmj.com/content/351/bmj.h4664.long ER -