The Indian Practitioner

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Anaemia of Old Age-Leave No Stone Unturned


Affiliations
1 Department of Medical Gastroenterology, Anaesthesiology, Gynae. & Obstetrics, Medicine, PGIMS, Haryana - 124001, India
2 Department of Medical Gastroenterology, Anaesthesiology, Gynae. & Obstetrics, Medicine, PGIMS Rohtak, India
     

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Background: Malignant melanomas of the gastrointestinal (GI) tract are usually metastatic. Primary malignant melanoma of the GI tract is rare and occurs in the anorectum and oesophagus.

Case: We report a case of a 60-year-old female who presented with short duration of anaemia but on detailed evaluation had primary anorectal melanoma (ARM) with extensive metastasis.

Conclusion: An evaluation of short duration of anaemia led to unexpected widely metastasised anorectal melanoma. Hence anaemia presenting at old age should be evaluated in detail including endoscopy of whole gastro-intestinal tract to rule out malignancy.


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  • Anaemia of Old Age-Leave No Stone Unturned

Abstract Views: 226  |  PDF Views: 0

Authors

P. Malhotra
Department of Medical Gastroenterology, Anaesthesiology, Gynae. & Obstetrics, Medicine, PGIMS, Haryana - 124001, India
N. Malhotra
Department of Medical Gastroenterology, Anaesthesiology, Gynae. & Obstetrics, Medicine, PGIMS Rohtak, India
V. Malhotra
Department of Medical Gastroenterology, Anaesthesiology, Gynae. & Obstetrics, Medicine, PGIMS Rohtak, India
A. Chugh
Department of Medical Gastroenterology, Anaesthesiology, Gynae. & Obstetrics, Medicine, PGIMS Rohtak, India
H. Dahiya
Department of Medical Gastroenterology, Anaesthesiology, Gynae. & Obstetrics, Medicine, PGIMS Rohtak, India
Jeetender
Department of Medical Gastroenterology, Anaesthesiology, Gynae. & Obstetrics, Medicine, PGIMS Rohtak, India

Abstract


Background: Malignant melanomas of the gastrointestinal (GI) tract are usually metastatic. Primary malignant melanoma of the GI tract is rare and occurs in the anorectum and oesophagus.

Case: We report a case of a 60-year-old female who presented with short duration of anaemia but on detailed evaluation had primary anorectal melanoma (ARM) with extensive metastasis.

Conclusion: An evaluation of short duration of anaemia led to unexpected widely metastasised anorectal melanoma. Hence anaemia presenting at old age should be evaluated in detail including endoscopy of whole gastro-intestinal tract to rule out malignancy.