Gut Liver.  2010 Mar;4(1):146-148.

Inflammatory Myoglandular Polyps Causing Hematochezia

Affiliations
  • 1Department of Internal Medicine, Eulji General Hospital, Eulji University School of Medicine, Seoul, Korea. sbk1026@eulji.ac.kr
  • 2Department of Pathology, Eulji General Hospital, Eulji University School of Medicine, Seoul, Korea.

Abstract

We report herein three cases of inflammatory myoglandular polyp (IMGP) presenting as hematochezia. The polyps had pedunculated, red, and smooth features, and were 12, 12, and 15 mm in diameter and located in the sigmoid colon, transverse colon, and rectum, respectively. Endoscopic polypectomies were performed. Histologic examination of the recovered specimens revealed inflammatory granulation in the lamina propria mucosa, proliferation of smooth muscle, and hyperplastic glands with cystic dilatation. The three colon polyps were finally diagnosed both clinically and histologically as IMGP. Endoscopists should bear in mind that a polyp featuring endoscopic findings of pedunculation or semipedunculation; a red, smooth, spherical, and hyperemic surface; and patchy mucosa exudation and erosion is likely to be an IMGP.

Keyword

Inflammatory myoglandular polyp; Endoscopic polypectomy; Gastrointestinal hemorrhage

MeSH Terms

Colon
Colon, Sigmoid
Colon, Transverse
Dilatation
Gastrointestinal Hemorrhage
Mucous Membrane
Muscle, Smooth
Polyps
Rectum
Ursidae
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