| A Case of Lobulated and Pedunculated Hyperplastic Polyp in the Second Portion of the Duodenum Treated with Polypectomy |
|
Jong Jin Lee, Changwon Choi, Han Wook Chung, Hwan Jun Cho, Eun Hye Park, Mi Kyung Kim, Jeong Wook Kim |
1Department of Internal Medicine, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Korea. ekg001@chol.com
2Department of Pathology, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Korea. |
| 용종절제술로 제거된 샘창자 제2부 소엽유경성 과형성 용종 |
|
이종진, 최창원, 정한욱, 조환준, 박은혜, 김미경1, 김정욱 |
|
중앙대학교 의과대학 내과학교실, 병리학교실1 |
|
|
| Abstract |
|
Large hyperplastic polyps of the duodenum are very rare. We report the case of a 61-year-old women with a large lobulated and pedunculated hyperplastic polyp in the distal second portion of the duodenum causing anemia which was treated with snare polypectomy. Endoscopy revealed a 2.5 cm sized lobulated and pedunculated polyp with a long stalk in the distal second portion of duodenum. Previous studies reported that duodenal polyps larger than 10 mm in diameter or polyps in the second portion as independent risk factors of neoplastic lesions, and thus an accurate pathologic examination was needed. Many patients with large duodenal hyperplastic polyps present with gastrointestinal bleeding and anemia. We removed the duodenal polyp by a snare with electrocautery after clipping and epinephrine injection into the stalk to prevent bleeding. Histopathological examination of the polyp revealed hyperplasia. |
| Key Words:
Duodenum; Polyps; Hyperplasia; Anemia |
|
PDF Links
Full text via DOI
Download Citation
