Occult Plummer Vinson syndrome in a patient with haemorrhoids

Plummer Vinson syndrome is a rare condition characterised by the triad of dysphagia,irondeficiency anaemia,and upper oesophageal webs. This is a case of a middle aged lady who presented with fatigue and was diagnosed to have iron deficiency anaemia. She did not have any complaints of dysphagia. On endoscopic evaluation she was found to have post cricoid web and haemorrhoids. Since post cricoid webs can complicate to squamous cell carcinoma of gastrointestinal tract, this case highlights the importance of endoscopic evaluation of all patients presenting with severe iron deficiency anaemia even in the absence of dysphagia, to rule out occult Plummer Vinson syndrome.Asian Journal of Medical Sciences Vol.8(3) 2017 81-83