Isolated Duodenal polyp presenting as upper gastrointestinal bleed
Journal Title: International Journal of Medical and Health Sciences - Year 2016, Vol 5, Issue 4
Abstract
Duodenal polyps are rare lesions in patients undergoing upper GI endoscopy (UGIE), and the prevalence varies widely with range of 0.3-4.6% of cases. Duodenal adenomas are most commonly associated with familial adenomatous polyposis. Solitary duodenal adenomas (SDA) is very rare and presentation as upper gastrointestinal (GI) haemorrhage is a rare manifestation. We herein report a case of adult female patient presenting to Emergency Department with features of upper GI bleeding. Patient was resuscitated following which UGIE was done. UGIE revealed a duodenal polyp and endoscopic polypectomy was done . 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 emphasise on 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 and Affiliations
Sachin Tribhuwan, Sandesh onkarappa, Sreejith v, Guruprasad N, G S Moirangthem
Keywords
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