Case 2-1988: A 55-Year-Old Man with Innumerable Gastric Polyps and Recent Melena

Richard C. Cabot, Robert E. Scully, Eugene J. Mark, William F. McNeely, Betty U. McNeely, Daniel K. Podolsky, Carolyn C. Compton

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Abstract

Presentation of Case A 55-year-old man was admitted to the hospital because of multiple gastric polyps and melena. He was well until seven years earlier, when occasional hematochezia prompted a sigmoidoscopic examination that revealed an internal hemorrhoid. One year later hematochezia recurred without symptoms, and a routine blood count showed that the hemoglobin was 12.5 g; the iron was 23 μg per 100 ml (4.1 μmol per liter). A barium-enema examination, with air contrast, was reported to be negative. An upper gastrointestinal series (Fig. 1) revealed coarse nodularity of gastric rugal folds, with a large mass along the greater curvature.

Original languageEnglish (US)
Pages (from-to)100-109
Number of pages10
JournalNew England Journal of Medicine
Volume318
Issue number2
DOIs
StatePublished - Jan 14 1988
Externally publishedYes

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ASJC Scopus subject areas

  • Medicine(all)

Cite this

Cabot, R. C., Scully, R. E., Mark, E. J., McNeely, W. F., McNeely, B. U., Podolsky, D. K., & Compton, C. C. (1988). Case 2-1988: A 55-Year-Old Man with Innumerable Gastric Polyps and Recent Melena. New England Journal of Medicine, 318(2), 100-109. https://doi.org/10.1056/NEJM198801143180208