Document Detail


Isolated duodenal adenoma presenting as gastrointestinal bleed - a case report.
MedLine Citation:
PMID:  25121024     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Keisham Lokendra Singh; T Prabhu; Mallikarjun Gunjiganvi; Ch Arun Kumar Singh; G S Moirangthem
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Publication Detail:
Type:  Journal Article     Date:  2014-06-20
Journal Detail:
Title:  Journal of clinical and diagnostic research : JCDR     Volume:  8     ISSN:  2249-782X     ISO Abbreviation:  J Clin Diagn Res     Publication Date:  2014 Jun 
Date Detail:
Created Date:  2014-08-14     Completed Date:  2014-08-14     Revised Date:  2014-08-18    
Medline Journal Info:
Nlm Unique ID:  101488993     Medline TA:  J Clin Diagn Res     Country:  India    
Other Details:
Languages:  eng     Pagination:  ND01-2     Citation Subset:  -    
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