title: A rare complication of hyperplastic gastric polyp.
abstract: Hyperplastic gastric polyps are incidentally diagnosed during upper gastrointestinal endoscopy. They are known to cause gastric outlet obstruction and chronic blood loss leading to iron deficiency anemia. However, hyperplastic gastric polyp presenting as acute severe upper gastrointestinal bleeding is very rare. To the best of our knowledge, there have been two cases of hyperplastic gastric polyps presenting as acute gastrointestinal bleeding in the medical literature. We present a case of a 56-year-old African American woman who was admitted to our hospital with symptomatic anemia and sepsis. The patient developed acute upper gastrointestinal bleeding during her hospital stay. She underwent emergent endoscopy, but bleeding could not be controlled. She underwent emergent laparotomy and wedge resection to control the bleeding. Biopsy of surgical specimen was reported as hyperplastic gastric polyp. We recommend that physicians should be aware of this rare serious complication of hyperplastic gastric polyps as endoscopic polypectomy has diagnostic and therapeutic benefits in preventing future complications including bleeding.
authors: Division 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.
authors: Suresh Kumar
authors: SK
authors: Nayudu
authors: Masooma
authors: M
authors: Niazi
authors: Bhavna
authors: B
authors: Balar
authors: Kavitha
authors: K
authors: Kumbum
references: World J Gastroenterol. 2003 Mar;9(3):633-4
references: 12632536
references: Am J Gastroenterol. 2009 Jun;104(6):1524-32
references: 19491866
references: Dig Dis Sci. 1989 Sep;34(9):1468-72
references: 2766915
references: Hepatogastroenterology. 2002 Jul-Aug;49(46):958-60
references: 12143253
references: J Pediatr Surg. 1992 Dec;27(12):1537-8
references: 1469565
references: Mayo Clin Proc. 1998 Oct;73(10):964-7
references: 9787747
references: Am J Surg Pathol. 2011 May;35(5):670-7
references: 21451363
references: Ann Pathol. 1998 Nov;18(5):415-7
references: 9864577
references: Dig Dis Sci. 2007 Jan;52(1):105-9
references: 17151810
references: Ann Diagn Pathol. 2013 Feb;17(1):72-4
references: 23020998
references: G Chir. 1998 Jan-Feb;19(1-2):19-21
references: 9567490
references: BMC Gastroenterol. 2003 Jun 27;3:16
references: 12831404
references: Arch Pathol Lab Med. 1986 Jun;110(6):556-8
references: 3754729
references: Nihon Rinsho. 2005 Nov;63 Suppl 11:285-7
references: 16363546
references: Pathol Res Pract. 2007;203(1):53-6
references: 17097828
references: Surg Endosc. 1995 Jun;9(6):714-8
references: 7482172
references: Intern Med. 2011;50(12):1349
references: 21673475
references: Arq Gastroenterol. 2007 Jan-Mar;44(1):14-7
references: 17639176
references: Gastrointest Endosc. 2007 Dec;66(6):1221-2; discussion 1222
references: 17719036
references: J Ark Med Soc. 2010 Oct;107(5):89-92
references: 20961024
references: Nihon Shokakibyo Gakkai Zasshi. 2005 May;102(5):559-63
references: 15920952
references: Virchows Arch. 2006 Jan;448(1):80-4
references: 16189701