Clin Endosc.  2013 Mar;46(2):186-188. 10.5946/ce.2013.46.2.186.

A Case of Large Fibrovascular Polyp of the Stomach

• Lee EJ
• Hong SG
• Baek HR
• Lee CB
• Choi SM
• Kim SJ
• Chae BG
• Choi CY

• KMID: 1805303
• DOI: http://doi.org/10.5946/ce.2013.46.2.186

Abstract

A fibrovascular polyp is a rare benign disease of the upper digestive tract and is usually located in the esophagus. To our knowledge, this is the first case of gastric fibrovascular polyp presenting with melena reported in the English literature. The polyp was well visualized on endoscopy and removed with laparoscopic wedge resection. Histology confirmed fibrovascular polyp of the stomach.

Keyword

Fibrovascular; Polyps; Stomach; Melena

MeSH Terms

Endoscopy
Esophagus
Gastrointestinal Tract
Melena
Polyps
Stomach

Figure

• 

  Fig. 1 Endoscopic findings. (A) It shows about 45 mm-sized poypoid lesion with a short stalk at the base of the antrum. (B) Hemorrhagic ulceration with easy touch bleeding was noted at the proximal side of the lesion and thin, translucent mucosal surface with one exposed vessel was noted at the distal side of the lesion.

• 

  Fig. 2 Abdominal computed tomography shows about 3.5×5 cm-sized polypoid mass with marginal enhancement, central inhomogeneous low density, and partial mucosal wall disruption at the anterior wall, lesser curvature of antrum, near the gastric angle (arrows).

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  Fig. 3 Pathologic findings. (A) Surgical specimen reveals irregular blood vessels with loose connective tissues, chronic inflammatory cells and adipocytes (H&E stain, ×100). (B) Overlying gastric mucosa was nearly disappeared, the surface was replaced by submucosal tissue, and the reactive hyperplastic surrounding gastric mucosa was contiguous to the submucosal lesion (arrows) (H&E stain, ×50).

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