The diagnostic course and management of a severe anemia due to recurrent bleeding from colonic angioectasias have been described. A 63-year-old man with chronic heart and renal failure, hypertension and diabetes presented severe anemia requiring transfusion. Anemia recurred and did not recover despite intravenous iron, folate and B12 vitamin supplementation, associated with eritropoietin administration. A bleeding angiodysplasia was finally diagnosed and long-acting octreotide prescribed, obtaining increased hemoglobin levels in the time.
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