Giant duodenal polyp
|Journal||Volume 84 - 2021|
|Issue||Fasc.3 - Clinical images|
|Author(s)||M. Belhassine 1, G. Beniuga 2, M. Henin 3, X. Chapaux 3, S. Negrin Dastis 1, Ph. Warzee 1|
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(1) Department of Gastroenterology and Hepatology, GHDC, Charleroi, Belgium
(2) Institute of Pathology and genetics (IPG), Charleroi, Belgium
(3) Department of Radiology, GHDC, Charleroi, Belgium
A 52 year-old man was referred with a history of anemia and fatigue. There was no melena and he was not taking any medication Blood analysis revealed microcytic anemia, with a hemoglobin of 9,7 g/dl (NR 13-18 ), MCV of 65,8 fl (NR 80-100) and serum ferritine was below 5 ng/ml (NR 30-400) with normal coagulation.There was no inflammation, no renal insufficiency and liver function tests were normal. Vitamine B12 and folic acid were normal. He underwent endoscopic work-up. Colonoscopy was normal. Gastroscopy revealed a large pedunculated polyp (5x2 cm) localized in the duodenal bulb and it was eroded on the top (Figure 1A and B). Multiple biopsies were taken showing no abnomarlity. There was no Helicobacter pylori nor metaplasia.
© Acta Gastro-Enterologica Belgica.