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An Atypical Cause of Upper Gastrointestinal Bleeding in an Elderly Patient
Hari Movva1, Devin Garza2, Minh Tran3
1Internal Medicine, University of Texas Medical Branch at Galveston, Galveston, USA.
Abstract:
Hyperplastic gastric polyps are typically benign and asymptomatic, often found incidentally during endoscopy. However, rare cases may present with bleeding, especially when polyps are large, ulcerated, or pedunculated. We report a 69-year-old male with melena and symptomatic anemia who was found to have a 3.6 cm ulcerated, pedunculated gastric polyp on endoscopy. The lesion was resected with a snare, and hemostasis was achieved with hemoclips. Pathology confirmed a hyperplastic polyp without dysplasia or malignancy. This case highlights the importance of considering bleeding polyps in the differential diagnosis of upper gastrointestinal (GI) bleeding and the dual diagnostic-therapeutic role of endoscopic resection.
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