Gastritis cystica polyposa in an unoperated stomach

ADVANCES IN DIGESTIVE MEDICINE - Tập 1 - Trang 100-103 - 2014
Ting-Chun Huang1,2, Tien-Chien Tu1,3, Shih-Hung Huang4, Chia-Long Lee1,3,5, Chi-Hwa Wu1
1Division of Gastroenterology, Department of Internal Medicine, Cathay General Hospital, Taipei, Taiwan
2School of Medicine, Fu Jen Catholic University, New Taipei City, Taiwan
3School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan
4Department of Pathology, Cathay General Hospital, Taipei, Taiwan
5Division of Gastroenterology, Department of Internal Medicine, Hsinchu Cathay General Hospital, Hsinchu, Taiwan

Tóm tắt

SummaryGastritis cystica polyposa is relatively rare and characterized by polypoid hyperplasia and cystic dilatation of the gastric glands in stomach. Most cases are related to previous gastric surgeries, but a few cases have been reported in unoperated stomachs. We present a 34‐year‐old man who had anemic symptoms with melena and exertional dyspnea for 3 weeks. He denied any surgical history. An esophagogastroduodenoscopy revealed diffuse giant folds extending from the lower to the upper body of the stomach with nodularity and no obvious bleeding site. A pathologic diagnosis of a punch biopsy specimen from the giant folds revealed only moderately active chronic inflammation with a high Helicobacter pylori density. After serial studies, the patient received a whole layer gastric biopsy during a laparoscopy. Gastritis cystica polyposa was diagnosed on the pathology report. Our present case highlights the rare clinical and endoscopic condition of gastritis cystica polyposa in an unoperated stomach.

Tài liệu tham khảo

10.1007/BF02165852 10.1002/1097-0142(197201)29:1<205::AID-CNCR2820290130>3.0.CO;2-J 10.1067/mge.2001.114412 10.1002/cncr.27541 10.4236/ss.2012.33031 10.1148/rg.331115178 10.1046/j.1443-1661.2000.00009.x 10.1097/00000658-196606000-00018 Tuncer K., 2003, Gastritis cystica polyposa found in an unoperated stomach: an unusual case treated by endoscopic polypectomy, Endoscopy, 35, 882, 10.1055/s-2003-42612 10.1016/j.gie.2008.10.020 10.4166/kjg.2012.59.5.366