Endoscopic excision of a prolapsing malignant polyp which caused intermittent gastric outlet obstruction.
A 69-year-old male with chronic lymphocytic leukemia presented with iron deficiency anemia and post-prandial abdominal fullness. Endoscopy showed a large polyp on a stalk, protruding through the pylorus into the duodenum causing intermittent gastric outlet obstruction. While prolapsing gastric antral polyps are usually benign and hyperplastic, inflammatory or regenerative in type, excisional snare polypectomy here led to complete resolution of his symptoms, but showed a malignant polyp.
Freeman
Hugh J
HJ
Department of Medicine (Gastroenterology), University of British Columbia, Vancouver, BC, V6T 1W5 Canada. hugfree@shaw.ca
D018256:Adenomatous Polyps / Q000150:complications* / Q000473:pathology / Q000601:surgery*; D000368:Aged; D002277:Carcinoma / Q000473:pathology; D017219:Gastric Outlet Obstruction / Q000209:etiology*; D005773:Gastroscopy; D006801:Humans; D008297:Male; D013274:Stomach Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery*