Abstract

A 64-year-old man presented with fatigue and unexplained chronic iron deficiency anemia for more than a year despite iron supplementation. The initial hemoglobin value was 11.2 g/dL, with a mean corpuscular volume (MCV) of 70.9 fL, ferritin level of 9.7 ng/mL, and iron saturation of 5%. Fecal occult blood test results were positive. After a normal upper and lower endoscopy, capsule endoscopy revealed an ulcerated submucosal lesion in the mid-ileum (A). Further workup with abdominal CT demonstrated a round, 1.9-cm, fat-containing mass within the small intestine (B).

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