Chronic iron deficiency anaemia after Roux-en-Y gastric bypass leading to Plummer Vinson syndrome

Plummer-Vinson Syndrome (PVS) is a rare condition that classically presents as a triad of dysphagia, proximal esophageal webs, and iron deficiency anemia. The prevalence of PVS has rapidly declined since it was first described by Henry Plummer and Stanley Vinson in the early 1900’s due to improved nutritional status and subsequent resolution of iron deficiency [1]. To our knowledge, only one prior case of PVS has been reported following gastric bypass surgery. PVS is most commonly observed among middle-aged Caucasian females, and only rarely is present among those of African descent. We report a unique case of PVS diagnosed during a workup for chronic iron deficiency anemia in an African-American patient with a prior history of gastric bypass surgery.