A Case of Hyperplastic Gastric Polyp Presenting with Massive Gastrointestinal Bleeding

Kim, Sung Joon; Park, Chan Seo; Kim, Sung Bum; Lee, Si Hyung

doi:2013.13.4.252

Korean J Helicobacter Up Gastrointest Res > Volume 13(4); 2013 > Article

Case Report

The Korean Journal of Helicobacter and Upper Gastrointestinal Research 2013;13(4):252-257.
DOI: https://doi.org/10.7704/kjhugr.2013.13.4.252 Published online December 10, 2013.

A Case of Hyperplastic Gastric Polyp Presenting with Massive Gastrointestinal Bleeding

Sung Joon Kim, Chan Seo Park, Sung Bum Kim, Si Hyung Lee

¹Department of Internal Medicine, Yeungnam University Yeongcheon Hospital, Daegu, Korea.
²Department of Internal Medicine, Yeungnam University College of Medicine, Daegu, Korea. dr9696@nate.com

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.

Key Words: Stomach; Polyp; Hemorrhage