When entomology meets gastroenterology

A middle age man with coronary artery disease requiring recent percutaneous angioplasty with drug eluding stent was seen for evaluation of new onset iron deficiency anaemia. His medical history was remarkable for peptic ulcer disease as young adult requiring Billroth II resection. His current medications included aspirin 81 mg daily and prasugrel 10 mg daily. Laboratory analysis was notable for haemoglobin of 124 g/L, iron saturation of 5% and ferritin of 8 ng/mL. …