Figure 1 - uploaded by Aravind C.
Content may be subject to copyright.
Source publication
Background: Portal hypertension induces mucosal changes like portal hypertensive gastropathy, duodenopathy and colonic mucosal abnormalities. These polyps are commonly found in the stomach than other parts of bowel. Portal hypertensive polyp usually occur in cirrhotic portal hypertension and are also in extra hepatic portal vein occlusion. Diagnost...
Context in source publication
Context 1
... the study population polyp size varied with a range of 5mm to > 15 mm, so the polyps were categorized into 3 groups 5-10 mm, 10-15 mm and > 15mm .The majority of the polyps ranged from 5-10mm in the first group which was seen in 50 % of the study population (4 patients), in the second group ranging from10mm-15mm 37.5% (3 patients) and in the last group of > 15mm -14% (1 patient). Size of 4 portal hypertensive polyps was 8 mm, 10mm, and 2 polyps 15 mm (Figure 1). ...
Citations
... Duodenal polyps are a rare manifestation of PHD and have been described in reports [6][7][8][9][10] and recent studies [11,12]. Most cases presented as multiple polyps, ranging in size, from 1-2 mm [10] to 3 cm [6], located in first and second part of the duodenum, some of them being responsible for gastrointestinal bleeding. ...
Portal hypertension can affect the entire gastrointestinal tract, including the duodenum. Portal hypertensive duodenopathy may occur relatively rare in patients with portal hypertension secondary to cirrhosis or extrahepatic portal venous obstruction. We report the case of a 63-years-old female patient with cirrhosis who underwent an esophagogastroduodenoscopy. Multiple small duodenal polyps (2-3 mm) were found. The histopathologic examination of the duodenal biopsy specimen revealed a polypoid duodenal mucosa, with preserved villous architecture, with focal gastric foveolar metaplasia and numerous ectatic capillaries in lamina propria. The polypoid lesions found in the duodenum are a consequence of portal hypertension. The presence of one or several polyps in the duodenum of a patient with portal hypertension, with specific histological findings (dilated mucosal capillaries, no dysplasia) is diagnostic of duodenal polyp/polyposis in the context of portal hypertension.
