{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T07:54:26Z","timestamp":1774511666726,"version":"3.50.1"},"reference-count":16,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T00:00:00Z","timestamp":1772755200000},"content-version":"vor","delay-in-days":5,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Iron deficiency anemia remains a significant health problem in children. Gastrointestinal blood loss is a recognized cause of iron deficiency in this population. Although rare, hiatal hernia has been reported as a source of chronic gastrointestinal bleeding, potentially leading to iron refractory iron deficiency anemia (IDA). A 4\u2010year\u2010old male child with iron refractory IDA had previously received multiple blood transfusions for recurrent anemia. During evaluation for complicated pneumonia, a chest computed tomography scan incidentally revealed a hiatal hernia. Following surgical repair of the hernia, iron refractory IDA responded to iron supplementation and follow\u2010up complete blood counts at 2 and 6\u2009months demonstrated normalization of hemoglobin levels. Clinicians should be aware that hiatal hernia might represent a rare but significant cause of anemia in children with iron refractory IDA.<\/jats:p>","DOI":"10.1002\/ccr3.72223","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T18:49:24Z","timestamp":1772995764000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Child With Iron\u2010Refractory Iron Deficiency Anemia: A Rare Case Associated With Hiatal Hernia"],"prefix":"10.1002","volume":"14","author":[{"given":"Worku","family":"Ketema","sequence":"first","affiliation":[{"name":"Department of Pediatrics and Child Health Hawassa University  Hawassa Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kefyalew Taye","family":"Garie","sequence":"additional","affiliation":[{"name":"Department of Pediatrics and Child Health Hawassa University  Hawassa Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Enatnesh Terefe","family":"Mame","sequence":"additional","affiliation":[{"name":"Department of Pediatrics and Child Health Hawassa University  Hawassa Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mekdes","family":"Shifeta","sequence":"additional","affiliation":[{"name":"Department of Pediatrics and Child Health Hawassa University  Hawassa Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wondimagegn","family":"Gizaw","sequence":"additional","affiliation":[{"name":"Department of Surgery Hawassa University  Hawassa Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shifte","family":"Hamid","sequence":"additional","affiliation":[{"name":"Department of Radiology Panacea Primary Hospital  Hawassa Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rihana","family":"Kassim Ahmed","sequence":"additional","affiliation":[{"name":"Department of Pediatrics and Child Health Hawassa University  Hawassa Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tsegaye","family":"Yasin","sequence":"additional","affiliation":[{"name":"Department of Pediatrics and Child Health Hawassa University  Hawassa Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Solomon Kelemu","family":"Leykun","sequence":"additional","affiliation":[{"name":"Department of Pediatrics and Child Health Hawassa University  Hawassa Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anteneh","family":"Dejene","sequence":"additional","affiliation":[{"name":"Department of Pediatrics and Child Health Hawassa University  Hawassa Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8426-051X","authenticated-orcid":false,"given":"Agete Tadewos","family":"Hirigo","sequence":"additional","affiliation":[{"name":"School of Medical Laboratory Science Hawassa University  Hawassa Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3339-9225","authenticated-orcid":false,"given":"Mulugeta Sitot","family":"Shibeshi","sequence":"additional","affiliation":[{"name":"Department of Pediatrics and Child Health Hawassa University  Hawassa Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,3,6]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(20)32594\u20100"},{"key":"e_1_2_13_3_1","volume-title":"The Global Prevalence of Anaemia in 2011","author":"WHO","year":"2015"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)60865-0"},{"issue":"1","key":"e_1_2_13_5_1","first-page":"66","article-title":"A Baby With Hiatal Hernia Presenting With Severe Iron\u2010Deficiency Anemia","volume":"54","author":"\u00d6zdemir \u00d6.","year":"2019","journal-title":"Turkish Archives of Pediatrics"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.14309\/00000434-200609001-00136"},{"issue":"10","key":"e_1_2_13_7_1","first-page":"10","article-title":"Gastric Volvulus: A Complication of Hiatal Hernia","volume":"12","author":"Louren\u00e7o S.","year":"2020","journal-title":"Cureus"},{"issue":"1","key":"e_1_2_13_8_1","article-title":"Acquired Refractory Iron Deficiency Anemia","volume":"13","author":"De Amicis M. 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