Published online Nov 25, 2015. doi: 10.4253/wjge.v7.i17.1257
Peer-review started: April 30, 2015
First decision: July 26, 2015
Revised: October 2, 2015
Accepted: October 16, 2015
Article in press: October 19, 2015
Published online: November 25, 2015
Portal hypertensive duodenopathy (PHD) is a recognized, but uncommon finding of portal hypertension in cirrhotic patients. Lesions associated with PHD include erythema, erosions, ulcers, telangiectasia, exaggerated villous pattern and duodenal varices. However, duodenal polyposis as a manifestation of PHD is rare. We report a case of a 52-year-old man who underwent esophagogastroduodenoscopy and was found with multiple small duodenal polyps ranging in size from 1-8 mm. Biopsy of the representative polyps revealed polypoid fragments of duodenal mucosa with villiform hyperplasia lined by reactive duodenal/gastric foveolar epithelium and underlying lamina propria showed proliferating ectatic and congested capillaries. The features were diagnostic of polyps arising in the setting of PHD.
Core tip: Duodenal polyposis secondary to portal hypertensive duodenopathy (PHD) is rare. We report a case of PHD presenting as polyposis.