Duodenal polyp under Ix as a cause of Recurrent Anemia.

Recurrent Iron deficiency Anemia due to UGI bleed , source polypoidal mass in D2. Chief Complaints A 16 yr old girl has come with severe weakness, easy fatigue and palpitations for past 1 month. On Examination pt was pale without icterus and other findings like splenomegaly, hematemesis, malena. Pt was admitted and was found to be Iron deficiency anemia , microcytic hypochromic anemia, low sr Iron and ferritin, normal ESR, stool for occult blood was neg, CXR was normal, routine urine was normal. Rest Ix were normal. Pt was transfused 4 units of P-RBC and discharged. Again after 1 month pt admitted with similar features and was pale along with H/O black colored stool. Her Hb was 3.2 and stool positive for occult blood. Pt was transfused P-RBC and transferred to higher center for UGI endoscopy to rule out GI pathology. There UGI endoscopy was done showing polypoidal mass in 2nd part of duodenum . Biopsy was done and sent for HPE. Waiting for reports.