Open AccessIsolated Duodenal Adenoma Presenting as Gastrointestinal Bleed - A Case Report
Author(s) -
Singh Kl,
T Prabhu,
Mallikarjun Gunjiganvi,
Khushwant Singh,
G. S. Moirangthem
Publication year - 2014
Publication title -
journal of clinical and diagnostic research
Language(s) - Uncategorized
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2014/8467.4430
Subject(s) - medicine , polypectomy , colonoscopy , bleed , duodenoscopy , gastroenterology , presentation (obstetrics) , tubular adenoma , gastric polyp , esophagogastroduodenoscopy , duodenum , endoscopy , adenoma , emergency department , surgery , colorectal cancer , cancer , psychiatry
Duodenal polyps are rare lesions in patients undergoing Esophago-gastro-duodenoscopy (EGD), and the prevalence varies widely with range of 0.3-4.6% of cases. Duodenal adenomas most commonly occur in association with familial adenomatous polyposis. Isolated occurrence of such adenomas is very rare and presentation as upper gastrointestinal (GI) haemorrhage is even rarer. We herein report a case of elderly male patient presenting to emergency department with features of upper GI bleeding. Patient was resuscitated followed by EGD was done. On EGD bleeding duodenal polyp was found and endoscopic polypectomy was done to control the bleeding. Subsequent colonoscopy was done and was normal. The histopathological examination of the polypectomy specimen revealed tubular adenomatous polyp which is a premalignant condition. We also highlight the clinical presentation, histological types and treatment modalities available in the literature. However, there is lack of consensus regarding the outcome of various procedure described in the literature.