Gastric inverted hyperplastic polyp: A rare cause of iron deficiency anemia

World J Gastroenterol. 2016 Apr 21;22(15):4066-70. doi: 10.3748/wjg.v22.i15.4066.

Abstract

Gastric inverted hyperplastic polyp (IHP) is a rare gastric polyp characterized by the downward growth of hyperplastic mucosal components into the submucosal layer. Macroscopically, a gastric IHP resembles a subepithelial tumor (SET); as a result, accurately diagnosing gastric IHP is difficult. This issue has clinical significance because gastric IHP can be misdiagnosed as SET or as malignant neoplasm In addition, adenocarcinoma can accompany benign gastric IHP. Although in most cases, gastric IHPs are asymptomatic and are found incidentally, these polyps may cause anemia secondary to chronic bleeding. Here, we report one case involving gastric IHP accompanied by chronic iron deficiency anemia that was successfully managed using endoscopic submucosal dissection.

Keywords: Anemia; Hyperplasia; Polyp; Stomach.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anemia, Iron-Deficiency / diagnosis
  • Anemia, Iron-Deficiency / etiology*
  • Biopsy
  • Chronic Disease
  • Diagnosis, Differential
  • Dissection
  • Endosonography
  • Female
  • Gastroscopy
  • Humans
  • Hyperplasia
  • Middle Aged
  • Polyps / complications*
  • Polyps / diagnostic imaging
  • Polyps / surgery
  • Predictive Value of Tests
  • Stomach Diseases / complications*
  • Stomach Diseases / diagnostic imaging
  • Stomach Diseases / surgery
  • Tomography, X-Ray Computed
  • Treatment Outcome