Journal of Nepal Medical Association (Jul 2004)
HYPERPLASTIC GASTRIC POLYPS PRESENTING WIT MASSIVE UPPER GASTRO-INTESTINAL BLEED
Abstract
A 39 year old man presented with massive upper Gastro-intestinal (GI) Bleed of 4 days duration. There was h/o chronic epigastric pain of 6 months duration. Upper Gl Endoscopy revealed a large polypoid mass of 6 cms x 5 cms in diameter on anterior wall of body. After resuscitation surgical exploration was done. Biopsy and histopathological examination revealed hyperplastic polyp. Cornual polyp of very large size (5 cm x 6 cms) with presentation with massive upper gastrointestival bleeding is quite unusual. These polyp are found in people older than 50, usual site is antrum and they usually present with occult blood loss. Key Words: Hyperplastic polyp, upper gastro-intestinal bleeding.