Inflammatory myoglandular polyp causing hematochezia

Hirasaki, Shoji; Okuda, Masato; Kudo, Kenichiro; Suzuki, Seiyuu; Shirakawa, Atsuko; East, James E.
September 2008
World Journal of Gastroenterology;9/14/2008, Vol. 14 Issue 34, p5353
Academic Journal
Case Study
A case of inflammatory myoglandular polyp (IMGP) causing hematochezia is reported. The patient was a 33-year-old man who visited our hospital for further evaluation of hematochezia. Colonoscopy revealed a red, hard, spherical peduncular polyp with erosion and mucous exudation, about 20 mm in diameter, in the descending colon. Excluding the polyp, there was no lesion in the colorectum. Endoscopic polypectomy was performed. Histological examination of the specimen revealed inflammatory granulation tissue in the lamina propria, proliferation of smooth muscle, and hyperplastic glands with variable cystic changes. This polyp was diagnosed as an IMGP. The symptom of hematochezia was resolved after endoscopic resection. Our case shows that treatment is necessary for IMGP if intestinal bleeding occurs and endoscopists should be aware of the endoscopic characteristics of IMGP.


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