Involution of Portal Hypertensive Gastric and Duodenal Polyps Following Liver Transplantation

A 49 year-old man with alcoholic cirrhosis presented with upper gastrointestinal bleeding and ascites. Endoscopy showed grade 2 esophageal varices with innumerable sessile polyps of the stomach and duodenum with diffuse hemorrhage (Figures A and B), which were treated with epinephrine injection and hemostatic clips. Over the following months, the patient had frequent hospitalizations for recurrent bleeding from the polyps and refractory ascites. Endoscopic biopsy of the polyps showed hyperplastic duodenal mucosa with vascular ectasia (Figure C, arrows) and patchy erosion (Figure C, arrowheads).

https://ift.tt/2LZXQjP