Duodenal polyposis, a rare manifestation of gastrointestinal portal hypertension.
cirrhosis
duodenal polyp
portal hypertension
portal hypertensive duodenopathy
Journal
Archive of clinical cases
ISSN: 2360-6975
Titre abrégé: Arch Clin Cases
Pays: Romania
ID NLM: 101727313
Informations de publication
Date de publication:
2019
2019
Historique:
entrez:
10
11
2021
pubmed:
11
11
2021
medline:
11
11
2021
Statut:
epublish
Résumé
Portal hypertension can affect the entire gastrointestinal tract, including the duodenum. Portal hypertensive duodenopathy may occur relatively rare in patients with portal hypertension secondary to cirrhosis or extrahepatic portal venous obstruction. We report the case of a 63-years-old female patient with cirrhosis who underwent an esophagogastroduodenoscopy. Multiple small duodenal polyps (2-3 mm) were found. The histopathologic examination of the duodenal biopsy specimen revealed a polypoid duodenal mucosa, with preserved villous architecture, with focal gastric foveolar metaplasia and numerous ectatic capillaries in lamina propria. The polypoid lesions found in the duodenum are a consequence of portal hypertension. The presence of one or several polyps in the duodenum of a patient with portal hypertension, with specific histological findings (dilated mucosal capillaries, no dysplasia) is diagnostic of duodenal polyp/polyposis in the context of portal hypertension.
Identifiants
pubmed: 34754915
doi: 10.22551/2019.25.0604.10160
pmc: PMC8565714
doi:
Types de publication
Case Reports
Langues
eng
Pagination
91-95Déclaration de conflit d'intérêts
The authors declare that they have no competing interests.
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