Acute Gastric Bleeding Due to Giant Hyperplastic Polyp

Aksel B., Dogan L., DEMİRCİ S., ÜNAL A. E., Akgul H.

JOURNAL OF CLINICAL AND ANALYTICAL MEDICINE, cilt.4, ss.114-116, 2013 (ESCI) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 4
  • Basım Tarihi: 2013
  • Doi Numarası: 10.4328/jcam.2032
  • Dergi Adı: JOURNAL OF CLINICAL AND ANALYTICAL MEDICINE
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.114-116
  • Anahtar Kelimeler: Gastrointestinal Bleeding, Hyperplastic Polyp, Stomach, Gastrectomy, OUTLET OBSTRUCTION, STOMACH
  • Ankara Üniversitesi Adresli: Evet

Özet

Hyperplastic gastric polyps account for the majority of benign gastric polyps. The vast majority of these lesions are small, asymptomatic and found incidentally on radiologic or endoscopic examination. Giant hyperplastic gastric polyps are uncommon and most of them are asymptomatic. We report a case of a 66-year-old woman who admitted because of acute gastric bleeding. The gastrin levels were within normal ranges. Esophagogastroduodenoscopy showed 12 cm pedunculated and multiple lobulated hyperplastic polyps arising from antrum with signs of diffuse oozing. The patient is treated by subtotal gastrectomy with Roux-Y gastrojejunostomy. Histological examination showed the presence of ulcers and regeneration findings with the contemporary occurrence of hyperplastic polyp. Giant hyperplastic gastric polyp should be kept in mind in the differential diagnosis of acute upper gastrointestinal bleeding.