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A Large Xanthomatous Hyperplastic Polyp: An Unusual Case of Dyspepsia
Andrea Escalante1, Jeffrey H Schneider2
1Medicine, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Miami, USA.
Abstract:
Gastric hyperplastic polyps (GHP) are one of the most common gastric epithelial polyps. They are generally asymptomatic and often discovered incidentally during endoscopic procedures. In this article, we present the case of a 36-year-old patient with dyspepsia attributed to the prolapse of a large gastric hyperplastic polyp with extensive xanthomatous change. The endoscopic findings revealed that the motion of the large polyp caused an intermittent pyloric obstruction. The large polyp was removed through a successful snare polypectomy, resolving the patient's symptoms. While dyspepsia is predominantly associated with functional causes, it is crucial to consider structural factors like GHP, particularly in the case of large polyps, as part of the differential diagnosis.
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