College
School of Osteopathic Medicine
Keywords
tubulovillous adenomas, upper GI hemorrhage, duodenal polyp, TVA
Date of Presentation
5-2-2019 12:00 AM
Poster Abstract
• Duodenal polyps are a group of polyps that are fairly uncommon to find on endoscopic evaluation (1).
• They are histologically classified according to mucin phenotype into intestinal and gastric subtypes; the intestinal-type polyps are morphologically subdivided into tubular and tubulovillous adenomas (2)
• We present a case of a 76-year-old male with recurrent hematemesis who was found to have an intestinal-type pedunculated tubulovillous adenoma (TVA) in the descending duodenum • An isolated occurrence of non-ampullary sporadic duodenal adenomas (SDA)’s are a rare finding and presentation as an upper GI hemorrhage is extremely uncommon (3)
• Furthermore, our patient’s polyp was pedunculated which is atypical because most SDA’s are morphologically flat or sessile (4)
• The purpose of this case is to present a rare cause of upper gastrointestinal bleeding and to depict characteristics of an isolated duodenal TVA and its treatment options.
Disciplines
Digestive, Oral, and Skin Physiology | Digestive System | Digestive System Diseases | Gastroenterology | Investigative Techniques | Medicine and Health Sciences
Included in
Digestive, Oral, and Skin Physiology Commons, Digestive System Commons, Digestive System Diseases Commons, Gastroenterology Commons, Investigative Techniques Commons
A Rare Manifestation of a Bleeding Tubulovillous Duodenal Polyp Presenting as an Upper Gastrointestinal Hemorrhage
• Duodenal polyps are a group of polyps that are fairly uncommon to find on endoscopic evaluation (1).
• They are histologically classified according to mucin phenotype into intestinal and gastric subtypes; the intestinal-type polyps are morphologically subdivided into tubular and tubulovillous adenomas (2)
• We present a case of a 76-year-old male with recurrent hematemesis who was found to have an intestinal-type pedunculated tubulovillous adenoma (TVA) in the descending duodenum • An isolated occurrence of non-ampullary sporadic duodenal adenomas (SDA)’s are a rare finding and presentation as an upper GI hemorrhage is extremely uncommon (3)
• Furthermore, our patient’s polyp was pedunculated which is atypical because most SDA’s are morphologically flat or sessile (4)
• The purpose of this case is to present a rare cause of upper gastrointestinal bleeding and to depict characteristics of an isolated duodenal TVA and its treatment options.
