PMC7168697_01
(a) Capsule endoscopy showing denuded mucosa with neovascularisation at the site of donor duodenal anastomosis. (b) Enteroscopic images showing ulceration at the donor duodenum with contact bleeding.
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He then underwent a capsule endoscopy which showed denuded mucosa with neovascularisation at the site of donor duodenal anastomosis (Figure 1(a)). Thereafter, he underwent a balloon enteroscopy, which divulged ulceration near the donor duodenal anastomosis with contact bleeding from the adjacent donor duodenal cuff (Figure 1(b)).
Haemoglobin trend before and after treatment is depicted along with the entire summary of blood transfusions.
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He continued to be anemic, receiving fortnightly transfusions (thirty units of PRBC in total over nine months) (Figure 2).
(a) Histological examination of a core biopsy specimen of the bone marrow showing intranuclear inclusions in erythroid precursor (arrow). (b) Immunophenotyping highlights intranuclear inclusions in erythroid precursor.
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A bone marrow (BM) biopsy disclosed poorly formed erythroid islands with dyserythropoiesis and intranuclear inclusions in erythroid precursors (Figure 3(a)); immunophenotyping was positive for parvovirus (Figure 3(b)) and dysplastic features.