Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Winkler, A; Hinterleitner, TA; Högenauer, C; Hauser, H; Langner, C.
Juvenile polyposis of the stomach causing recurrent upper gastrointestinal bleeding.
Eur J Gastroenterol Hepatol. 2007; 19(1):87-90
Doi: 10.1097/MEG.0b013e328012317d
(- Case Report)
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- Führende Autor*innen der Med Uni Graz
- Langner Cord
- Winkler Alexandra
- Co-Autor*innen der Med Uni Graz
- Hauser Hubert
- Hinterleitner Thomas
- Hoegenauer Christoph
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- Abstract:
- We present the case of a 42-year-old man who suffered from recurrent severe upper gastrointestinal bleeding starting from February 2003. Endoscopy showed multiple glassy polyps in the stomach, which corresponded to a diffuse mucosal thickening detected by endosonography. The duodenum was normal. In February 2006, life-threatening acute gastrointestinal bleeding prompted total gastrectomy. The resection specimen showed the gastric mucosa carpeted by numerous glassy pedunculated polyps, measuring 2 cm in largest diameter. Histologically, the polyps were characterized by an abundant loose stroma and by elongated, twisting foveolae, covered by hyperplastic epithelium. Colonoscopy including the terminal ileum revealed a single tubulovillous adenoma, but no hamartomatous polyps, rendering a final diagnosis of juvenile polyposis of the stomach. This case represents the first description of juvenile polyposis causing life-threatening gastric haemorrhage. Thus, although rare, the disease has to be considered in the differential diagnosis of patients with acute upper gastrointestinal tract bleeding.
- Find related publications in this database (using NLM MeSH Indexing)
- Adenomatous Polyposis Coli - complications
- Adenomatous Polyposis Coli - pathology
- Adult -
- Gastric Mucosa - pathology
- Gastrointestinal Hemorrhage - etiology
- Humans -
- Male -
- Polyps - complications
- Polyps - pathology
- Recurrence -
- Stomach Neoplasms - complications
- Stomach Neoplasms - pathology
- Find related publications in this database (Keywords)
- gastrointestinal bleeding
- juvenile polyposis