Report of a Rare Case of Gastric Polyposis

Javanmardi, M.; Naghavi Ravandi, M.; Mianeh Saz, E

Report of a Rare Case of Gastric Polyposis

Document Type : Case Report and Review of Literature

Authors

M. Javanmardi ¹

M. Naghavi Ravandi ²

E Mianeh Saz ³

¹ Assistant Professor of Surgery, Kashan University of Medical Sciences and Health Services, Hospital, Kashan, Iran

² Resident of General Surgery, Kashan University of Medical Sciences and Health Services, Hospital, Kashan, Iran

³ Medical Student, Kashan University of Medical Sciences and Health Services, Kashan, Iran

Abstract

Hyperplastic polyps are very rare and often solitary. Usually they have no symptoms, if they were
symptomatic, they would have gastro intestinal (GI) bleeding, abdominal pain, early fullness of stomach,
intermittent obstructive pattern. The patient was a 45 year old woman that complained about fatigue, malaise,
dizziness and had severe anemia (Hb: 3.9 gr/dl). She didn’t mention abdominal pain, bloating and, other GI
disorders. In endoscopy, many grape like polyps were seen in the stomach; also scattered ones in other parts of
GI were observed which none of them were malignant. The patient was operated (Billirot II) and discharged
with good general condition. She was hospitalized 4 times during 11 years after surgery because of cardiac
decompensation and died finally due to Congestive Heart Failure. The case is interesting and considerable
because of the large amount of polyps in the stomach, a few polyps in other parts of GI, absence of obvious
alimentary signs or symptoms, severe anemia without active GI bleeding (in spite of extensive pathology in
the stomach) or malignancy.

Keywords

Gastric Polyposis

Hyperplastic Polyp

Anemia