Korean J Gastrointest Endosc.  2010 Oct;41(4):228-231.

Partial Duodenal Obstruction Caused by an Impacted Gastritis Cystica Polyposa

Affiliations
  • 1Department of Internal Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Korea. endoscopy@cha.ac.kr
  • 2Department of Pathology, CHA Bundang Medical Center, CHA University, Seongnam, Korea.

Abstract

Gastritis cystica polyposa is an uncommon lesion that usually occurs at the gastroenterostomy site, but it may also develop in the non-operated stomach. This malady is characterized by polypoid mucosal changes with hyperplasia and cystic dilatation of glands that infiltrate into the submucosal layer. We report here on a case of gastritis cystica polyposa that presented as a mass impacted in the duodenum in a 63-year-old male, and this patient had been admitted for evaluation of progressive epigastric fullness and dyspepsia. Esophagogastroduodenoscopy revealed that the partial duodenal obstruction was caused by impaction of a huge polypoid mass with a stalk that originated from the lower body of the stomach. We fished out the impacted mass with a forceps catheter while holding the neck with a snare catheter. Thereafter, an endoloop was applied to the stalk of mass, and this was followed by polypectomy using a snare catheter.

Keyword

Gastritis cystica polyposa; Duodenal obstruction; Polypectomy
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