A Rare Manifestation of a Bleeding Tubulovillous Duodenal Polyp Presenting as an Upper Gastrointestinal Hemorrhage

Duodenal polyps have been reported in <1.5% of individuals who undergo esophagogastroduodenoscopy (EGD). We present a case of a 76-year-old male with recurrent hematemesis who was found to have an intestinal-type, pedunculated tubulovillous adenoma in the descending duodenum. An isolated oc...

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Main Authors: Yaser Khalid, Neethi Dasu, Herman Suga, Michael Itidiare, Richard Walters
Format: Article
Language:English
Published: Karger Publishers 2020-07-01
Series:Case Reports in Gastroenterology
Subjects:
Online Access:https://www.karger.com/Article/FullText/508436
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author Yaser Khalid
Neethi Dasu
Herman Suga
Michael Itidiare
Richard Walters
author_facet Yaser Khalid
Neethi Dasu
Herman Suga
Michael Itidiare
Richard Walters
author_sort Yaser Khalid
collection DOAJ
description Duodenal polyps have been reported in <1.5% of individuals who undergo esophagogastroduodenoscopy (EGD). We present a case of a 76-year-old male with recurrent hematemesis who was found to have an intestinal-type, pedunculated tubulovillous adenoma in the descending duodenum. An isolated occurrence of nonampullary sporadic duodenal adenoma is a rare finding. Presentation as an upper gastrointestinal hemorrhage is also extremely uncommon. Our patient’s polyp was pedunculated, which is atypical, because most sporadic duodenal adenomas are morphologically flat or sessile. The purpose of this case is to present a rare cause of upper gastrointestinal bleeding and to depict characteristics of an isolated duodenal tubulovillous adenoma and its treatment options.
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spelling doaj.art-44a909a74f7343a99c9205c09344f6622022-12-22T01:32:29ZengKarger PublishersCase Reports in Gastroenterology1662-06312020-07-0114236136610.1159/000508436508436A Rare Manifestation of a Bleeding Tubulovillous Duodenal Polyp Presenting as an Upper Gastrointestinal HemorrhageYaser KhalidNeethi DasuHerman SugaMichael ItidiareRichard WaltersDuodenal polyps have been reported in <1.5% of individuals who undergo esophagogastroduodenoscopy (EGD). We present a case of a 76-year-old male with recurrent hematemesis who was found to have an intestinal-type, pedunculated tubulovillous adenoma in the descending duodenum. An isolated occurrence of nonampullary sporadic duodenal adenoma is a rare finding. Presentation as an upper gastrointestinal hemorrhage is also extremely uncommon. Our patient’s polyp was pedunculated, which is atypical, because most sporadic duodenal adenomas are morphologically flat or sessile. The purpose of this case is to present a rare cause of upper gastrointestinal bleeding and to depict characteristics of an isolated duodenal tubulovillous adenoma and its treatment options.https://www.karger.com/Article/FullText/508436gastrointestinal hemorrhageanemiatubulovillous adenomaduodenal polyppedunculated polyp
spellingShingle Yaser Khalid
Neethi Dasu
Herman Suga
Michael Itidiare
Richard Walters
A Rare Manifestation of a Bleeding Tubulovillous Duodenal Polyp Presenting as an Upper Gastrointestinal Hemorrhage
Case Reports in Gastroenterology
gastrointestinal hemorrhage
anemia
tubulovillous adenoma
duodenal polyp
pedunculated polyp
title A Rare Manifestation of a Bleeding Tubulovillous Duodenal Polyp Presenting as an Upper Gastrointestinal Hemorrhage
title_full A Rare Manifestation of a Bleeding Tubulovillous Duodenal Polyp Presenting as an Upper Gastrointestinal Hemorrhage
title_fullStr A Rare Manifestation of a Bleeding Tubulovillous Duodenal Polyp Presenting as an Upper Gastrointestinal Hemorrhage
title_full_unstemmed A Rare Manifestation of a Bleeding Tubulovillous Duodenal Polyp Presenting as an Upper Gastrointestinal Hemorrhage
title_short A Rare Manifestation of a Bleeding Tubulovillous Duodenal Polyp Presenting as an Upper Gastrointestinal Hemorrhage
title_sort rare manifestation of a bleeding tubulovillous duodenal polyp presenting as an upper gastrointestinal hemorrhage
topic gastrointestinal hemorrhage
anemia
tubulovillous adenoma
duodenal polyp
pedunculated polyp
url https://www.karger.com/Article/FullText/508436
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