Mummificated form of hookworm as a cause of bleeding duodenal bulb lesion – case report

An 81 year-old man taking 100mg aspirin daily was admitted because of and rapidly worsening dyspnoea and severe anaemia. Laboratory data showed typical iron-deficiency anaemia (haemoglobin 5.0g/dl, hematocrit 20.5%, serum iron 18µg/dl). Eosinophilia was not detected and the FOBT was positive. After transfusion with 5 unites of packed red blood cells upper endoscopy was performed. On the anterior wall of the duodenal bulb an 8–10mm in length speculum like foreign body was found. The spike was bedding in a sessile polyp like mucosal protuberation with an ulcerated inner margin. The whole pathologic body was remove…