%0 Journal Article
%T A Rare Complication of Hyperplastic Gastric Polyp
%A Suresh Kumar Nayudu
%A Masooma Niazi
%A Bhavna Balar
%A Kavitha Kumbum
%J Case Reports in Gastrointestinal Medicine
%D 2013
%I Hindawi Publishing Corporation
%R 10.1155/2013/631975
%X Hyperplastic gastric polyps are incidentally diagnosed during upper gastrointestinal endoscopy. They are known to cause gastric outlet obstruction and chronic blood loss leading to iron deficiency anemia. However, hyperplastic gastric polyp presenting as acute severe upper gastrointestinal bleeding is very rare. To the best of our knowledge, there have been two cases of hyperplastic gastric polyps presenting as acute gastrointestinal bleeding in the medical literature. We present a case of a 56-year-old African American woman who was admitted to our hospital with symptomatic anemia and sepsis. The patient developed acute upper gastrointestinal bleeding during her hospital stay. She underwent emergent endoscopy, but bleeding could not be controlled. She underwent emergent laparotomy and wedge resection to control the bleeding. Biopsy of surgical specimen was reported as hyperplastic gastric polyp. We recommend that physicians should be aware of this rare serious complication of hyperplastic gastric polyps as endoscopic polypectomy has diagnostic and therapeutic benefits in preventing future complications including bleeding. 1. Introduction Hyperplastic gastric polyps are the second most common variety of gastric polyps in the United States of America (USA) preceded by fundic gland polyps [1]. Hyperplastic polyps have been known to present clinically as gastric outlet obstruction or chronic occult blood loss leading to iron deficiency anemia [2, 3]. However, to the best of our knowledge, acute gastrointestinal bleeding in association with hyperplastic gastric polyps has been reported very rarely [3, 4]. We present a case of a 56-year-old African American woman with acute severe upper gastrointestinal bleeding which could not be controlled with endoscopic measures and finally underwent surgical intervention to control the bleeding. 2. Case Presentation A 56-year-old African American woman was brought to the emergency room (ER) by her family members with generalized weakness of 3 weeks duration. She also reported generalized body aches, subjective fever, stiffness of joints in the morning, skin rash, and loss of appetite. She denied any abdominal pain, nausea, vomiting, diarrhea, constipation, or urinary symptoms. She has known medical history of rheumatoid arthritis and pernicious anemia. She denied any major surgical procedures in the past or allergies to any medications. Her current medications included methotrexate, celecoxib, and folic acid. She never used tobacco, alcohol, or recreational drugs. As per family, the patient has been depressed, not
%U http://www.hindawi.com/journals/crigm/2013/631975/