Obscure Gastrointestinal Bleeding: The Role of the Tagged Red Blood Cell Scan, Enteroscopy, and Capsule Endoscopy
published online 23 September 2005.
A 65-year-old African American man was referred for obscure gastrointestinal bleeding. He initially had presented 3 months previously with anemia and melena. Both upper-gastrointestinal endoscopy and colonoscopy on 2 occasions had not shown a bleeding source. A tagged technetium-99m red blood cell bleeding scan was negative. He had no weight loss or abdominal pain. He had received a total of 25 units of blood. Physical examination was unremarkable.
Division of Gastroenterology, University of Massachusetts Medical Center, Worcester, Massachusetts
David R. Cave, MD, PhD, Director of Clinical Gastroenterology Research, Division of Gastroenterology, University of Massachusetts Medical Center, 55 Lake Avenue North, Worcester, Massachusetts 01655; fax: (508) 856-3981.
Dr Cave has been a speaker for and has received research grants from Given Imaging, and he has received research support from Olympus Corporation.