Duodenal polyposis secondary to portal hypertensive duodenopathy

• 作者: Ananta Gurung Philip E Jaffe Xuchen Zhang
• 来源期刊: 世界胃肠内镜杂志：英文版（电子版）
• 学科: 医学
• 关键词: CIRRHOSIS PORTAL duodenopathy POLYPOSIS PORTAL HYP
• 年，卷（期）: 2015,（17）
• 页码范围: 1257-1261
• 页数: 5页
• 分类号: R574.51

摘要

Portal hypertensive duodenopathy(PHD) is a recognized, but uncommon finding of portal hypertension in cirrhotic patients. Lesions associated with PHD include erythema, erosions, ulcers, telangiectasia, exaggerated villous pattern and duodenal varices. However, duodenal polyposis as a manifestation of PHD is rare. We report a case of a 52-year-old man who underwent esophagogastroduodenoscopy and was found with multiple small duodenal polyps ranging in size from 1-8 mm. Biopsy of the representative polyps revealed polypoid fragments of duodenal mucosa with villiform hyperplasia lined by reactive duodenal/gastric foveolar epithelium and underlying lamina propria showed proliferating ectatic and congested capillaries. The features were diagnostic of polyps arising in the setting of PHD.