Gastrointestinal Bleeding Induced by a Gastric Solitary Juvenile Polyp

Short Report

Gastrointestinal Bleeding Induced by a Gastric Solitary Juvenile Polyp

Qi Yang ^1,2,3
Wei Liu ^1,2,3

1The First College of Clinical Medical Science, China Three Gorges University, Yichang, China.

2Institute of Digestive Disease, China Three Gorges University, Yichang, China.

3Department of Gastroenterology, Yichang Central People’s Hospital, Yichang, China.

*Corresponding Author: Wei Liu, The First College of Clinical Medical Science, China Three Gorges University, Yichang, China.

Citation: Qi Yang, Wei Liu. (2024). Gastrointestinal Bleeding Induced by a Gastric Solitary Juvenile Polyp. Journal of Clinical Surgery and Surgical Research, BioRes Scientia Publishers. Publishers. 3(2):1-2. DOI: 10.59657/2992-9989.brs.24.024

Copyright: © 2024 Wei Liu, this is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Received: March 26, 2024 | Accepted: April 11, 2024 | Published: April 17, 2024

Abstract

Keywords:

Introduction

A 36-year-old man presented with 2-week history of melena. The patient had no familial history of Peutz-Jeghers-type polyp and juvenile polyposis syndrome. Laboratory findings showed moderate anemia (hemoglobin, 8.3 mg/dL). Platelet count and coagulation function were normal. Abdominal computed tomography scan revealed no abnormalities. Upper gastrointestinal endoscopy demonstrated a giant, reddish, broad-based and elongated pedunculated polyp in the gastric fundus, which measured 10 × 30 mm macroscopically (Figure 1A). Endoscopic hemostasis by resection of the polyp with hot snare polypectomy was performed due to bleeding from the polyp. Histopathological examination confirmed cystically dilated glands and hyperplasia of the glandular epithelium without malignant findings (Figure 1B). Finally, the patient received the diagnosis of a juvenile polyp based on pathologic findings of hamartomatous polyp. Colonoscopy and capsule endoscopy identified no polyps in the colon and small intestine for this patient. A solitary gastric juvenile polyp is rare because gastric juvenile polyps are commonly associated with juvenile polyposis syndrome [1,2,3]. Endoscopic polypectomy was useful for management of gastric bleeding by gastric solitary juvenile polyp.

Figure 1A: Upper gastrointestinal endoscopy demonstrated a giant, reddish, broad-based and elongated pedunculated polyp in the gastric fundus.

Figure 1B: Histopathological examination confirmed cystically dilated glands and hyperplasia of the glandular epithelium without malignant findings.

Declarations

Conflicts of Interest

The authors have no conflicts of interest to declare.

Ethical Statement

The authors are accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. Written informed consent was obtained from the patient for publication of this “GI Image”.

Author’s contributions

Collection of data and writing: Qi Yang.

Manuscript preparation: Qi Yang.

Final approval of the manuscript: Wei Liu.

References

Zhi-Chao Chen, Juan Yu, Wei-Feng Huang. (2023). A solitary gastric juvenile polyp in an older man. Am J Med Sci, 366(5):e82-e83.
Publisher | Google Scholor
Yutaka Okagawa, Tetsuya Sumiyoshi, Hitoshi Kondo. (2020). Gastric Bleeding Induced by a Solitary Juvenile Polyp. Clin Gastroenterol Hepatol, 18(7):e73.
Publisher | Google Scholor
Sheng-Jiao Tie, Juan Yu, Wei-Feng Huang. (2023). An Unusual Case of Gastric Mass: Solitary Gastric Juvenile Polyp. J Gastrointest Surg, 27(9):2001-2002.
Publisher | Google Scholor

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