Korean J Helicobacter Up Gastrointest Res.  2013 Dec;13(4):252-257. 10.7704/kjhugr.2013.13.4.252.

A Case of Hyperplastic Gastric Polyp Presenting with Massive Gastrointestinal Bleeding

• Kim SJ
• Park CS
• Kim SB
• Lee SH

• KMID: 1865974
• DOI: http://doi.org/10.7704/kjhugr.2013.13.4.252

Abstract

Hyperplastic polyps are the most common histological findings among benign gastric polyps. The characteristics of gastric hyperplastic polyps are usually subclinical, small, sessile form, and solitary lesions occurring in the antrum. With increasing size, they can present with dyspepsia, nausea, melena or iron deficiency anemia due to chronic blood loss. Especially polyps with size exceeding 2 cm is defined as a giant gastric polyp and comprises 2% of gastric hyperplastic polyps. However, massive upper gastrointestinal bleeding caused by gastric hyperplastic polyps is rare. Here, we report a case of a 64-year-old male patient with massive bleeding caused by a giant gastric polyp which needed urgent endoscopic hemostasis and was confirmed as a hyperplastic polyp. According to our experience, physicians should be aware that gastric hyperplastic polyp might result in massive upper gastrointestinal bleeding.

Keyword

Stomach; Polyp; Hemorrhage

MeSH Terms

Anemia, Iron-Deficiency
Dyspepsia
Hemorrhage*
Hemostasis, Endoscopic
Humans
Male
Melena
Middle Aged
Nausea
Polyps*
Stomach