Saudi Journal of Gastroenterology
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Year : 2010  |  Volume : 16  |  Issue : 2  |  Page : 140-141
Clinical significance of numerous irregular polypoidal lesions in the duodenum


1 Department of Medicine, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
2 Department of Pathology, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia

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Date of Web Publication23-Mar-2010
 

How to cite this article:
Helmy A, Asaad L, Kagevi I, Al-Ashgar HI. Clinical significance of numerous irregular polypoidal lesions in the duodenum. Saudi J Gastroenterol 2010;16:140-1

How to cite this URL:
Helmy A, Asaad L, Kagevi I, Al-Ashgar HI. Clinical significance of numerous irregular polypoidal lesions in the duodenum. Saudi J Gastroenterol [serial online] 2010 [cited 2019 Nov 17];16:140-1. Available from: http://www.saudijgastro.com/text.asp?2010/16/2/140/61246


The patient, a 20-year-old obese male, complained of epigastric pain of two years duration with no associated nausea or vomiting. He underwent upper gastrointestinal endoscopy in a local hospital and received treatment for H. pylori infection, with no significant improvement. He was referred to King Faisal Specialist Hospital and Research Centre (KFSHRC) for further evaluation. Laboratory investigations showed: WBCs: 7.3×10 9 /L. Hb: 133 g/L. MCV: 69.6 fL. Platelets: 500×10 9 /L. ESR: 45 mm/hour. CRP: 10.8 mg/L. Urea: 4.0 mmol/L. Creatinine: 72 umol/L. K + : 3.9 mmol/L. Na + : 140 mmol/L. Cl - :103 mmol/L. CO 2 : 22 mmol/L. Albumin: 44 g/L. Bilirubin: 8 umol/L. LD: 177 U/L. ALT: 108 U/L. AST: 61 U/L. ALP: 64 U/L. GGT: 161 IU/L. Negative antinuclear antibody screen as well as celiac disease serology.

Follow-up endoscopy after six months showed normal esophageal mucosa, nodular congested gastric mucosa and nodular duodenal mucosa with variable-sized polypoid lesions [Figure 1]a and b, which were biopsied and sent for pathological examination [Figure 2] a-c.


   Questions Top


Q1. What is the diagnosis?

Q2. What are the histopathological findings of duodenal polypoidal lesions?

Q3. What other sites can be affected by this pathology?

Q4. What is the clinical significance of this abnormality?



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Correspondence Address:
Hamad I Al-Ashgar
Department of Medicine, MBC: 46, King Faisal Specialist Hospital and Research Center, PO Box: 3354, Riyadh 11211
Saudi Arabia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1319-3767.61246

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  [Figure 1], [Figure 2]



 

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