title: Isolated duodenal adenoma presenting as gastrointestinal bleed - a case report.
abstract: Duodenal polyps are rare lesions in patients undergoing Esophago-gastro-duodenoscopy (EGD), and the prevalence varies widely with range of 0.3-4.6% of cases. Duodenal adenomas most commonly occur in association with familial adenomatous polyposis. Isolated occurrence of such adenomas is very rare and presentation as upper gastrointestinal (GI) haemorrhage is even rarer. We herein report a case of elderly male patient presenting to emergency department with features of upper GI bleeding. Patient was resuscitated followed by EGD was done. On EGD bleeding duodenal polyp was found and endoscopic polypectomy was done to control the bleeding. Subsequent colonoscopy was done and was normal. The histopathological examination of the polypectomy specimen revealed tubular adenomatous polyp which is a premalignant condition. We also highlight the clinical presentation, histological types and treatment modalities available in the literature. However, there is lack of consensus regarding the outcome of various procedure described in the literature.
authors.affiliation: Junior Resident, Department of Surgery, Regional Institute of Medical Sciences , Imphal, Manipur, India .
authors.forename: Keisham Lokendra
authors.initials: KL
authors.lastname: Singh
authors.affiliation: Junior Resident, Department of Surgery, Regional Institute of Medical Sciences , Imphal, Manipur, India .
authors.forename: T
authors.initials: T
authors.lastname: Prabhu
authors.affiliation: Junior Resident, Department of Surgery, Regional Institute of Medical Sciences , Imphal, Manipur, India .
authors.forename: Mallikarjun
authors.initials: M
authors.lastname: Gunjiganvi
authors.affiliation: Professor, Department of Surgery, Regional Institute of Medical Sciences , Imphal, Manipur, India .
authors.forename: Ch Arun
authors.initials: ChA
authors.lastname: Kumar Singh
authors.affiliation: Professor, Department of Surgery, Regional Institute of Medical Sciences , Imphal, Manipur, India .
authors.forename: G S
authors.initials: GS
authors.lastname: Moirangthem
keywords: Endoscopic polypectomy; Isolated duodenal polyp; Upper gastrointestinal bleed