Duodenal polyposis, a rare manifestation of gastrointestinal portal hypertension.
| Autor: | Florea MA; Department of Pathology, Emergency University Hospital, Bucharest, Romania., Varban AȘ; Department of Pathology, Emergency University Hospital, Bucharest, Romania., Costache S; Department of Pathology, Emergency University Hospital, Bucharest, Romania., Angelescu C; Gastroenterology and Hepatology Center, Fundeni Clinical Institute, Bucharest, Romania., Ciora C; Gastroenterology and Hepatology Center, Fundeni Clinical Institute, Bucharest, Romania. |
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| Jazyk: | angličtina |
| Zdroj: | Archive of clinical cases [Arch Clin Cases] 2021 Oct 27; Vol. 6 (4), pp. 91-95. Date of Electronic Publication: 2021 Oct 27 (Print Publication: 2019). |
| DOI: | 10.22551/2019.25.0604.10160 |
| Abstrakt: | 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. Competing Interests: The authors declare that they have no competing interests. |
| Databáze: | MEDLINE |
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