This is the case of a 33 year-old male that comes from the Republic of Honduras. He has U.S nationality and Honduras heritage. He is a retired military, presented with recurrent episodes of GI severe hemorrhage in four occasions manifesting only with melenas, needing blood transfusions because of the hemoglobin down until 5 gr/dl. The endoscopies in Honduras and Miami did not detect that pathology, including colonoscopies enteroscopy and endoscopic capsule as well as abdominal computed tomography scan and other imaging methods. He came to our office for the first time to ask for evaluation we performed an upper endoscopy that was negative following an enteroscopy finding this lesion.
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