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A rare complication of hyperplastic gastric polyp.
Suresh Kumar Nayudu1, Masooma Niazi, Bhavna Balar
1Division of Gastroenterology, Bronx-Lebanon Hospital Center, Albert Einstein College of Medicine, Yeshiva University, Bronx, NY 10461, USA ; Department of Medicine, Bronx-Lebanon Hospital Center, Albert Einstein College of Medicine, Yeshiva University, Bronx, NY 10461, USA.
Case Reports in Gastrointestinal Medicine
|February 13, 2013
Summary
Acute severe upper gastrointestinal bleeding from a hyperplastic gastric polyp is rare. This case highlights the potential for serious bleeding and the need for physician awareness of this complication.
Area of Science:
- Gastroenterology
- Endoscopy
- Surgical Pathology
Background:
- Hyperplastic gastric polyps are commonly found incidentally during upper endoscopy.
- While typically causing mild symptoms like obstruction or chronic blood loss, acute severe bleeding is exceptionally rare.
Purpose of the Study:
- To report a rare case of acute severe upper gastrointestinal bleeding caused by a hyperplastic gastric polyp.
- To emphasize the importance of recognizing this uncommon but serious complication.
Main Methods:
- A case study of a 56-year-old woman presenting with anemia and sepsis.
- Management involved emergent endoscopy, followed by laparotomy and wedge resection due to uncontrolled bleeding.
- Histopathological examination of the resected specimen confirmed a hyperplastic gastric polyp.
Main Results:
- The patient experienced acute, severe upper gastrointestinal bleeding.
- Endoscopic treatment was unsuccessful in controlling the hemorrhage.
- Surgical intervention was required to achieve hemostasis.
Conclusions:
- Hyperplastic gastric polyps can present with acute, severe upper gastrointestinal bleeding, a rare but significant complication.
- Physicians should maintain a high index of suspicion for this presentation.
- Endoscopic polypectomy offers both diagnostic and therapeutic advantages, potentially preventing severe bleeding events.
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