2022 Volume 64 Issue 1 Pages 55-60
An 81-year-old woman with hematochezia was referred to our hospital. Although iron-deficiency anemia was observed, we did not detect any bleeding source on contrast computed tomography, esophagogastroduodenoscopy, and colonoscopy. Capsule endoscopy revealed active bleeding at the ileum. Double-balloon endoscopy revealed an 8-mm torose lesion on the ileum. Clinical follow-up was done without resection of the polyp as the patient was taking two antiplatelet agents at the time of diagnosis. Since hematochezia and anemia had not improved at the follow-up visit, we decided to resect the polyp by cold snare polypectomy as the procedure is associated with less post-procedural bleeding when combined with local saline injection. Microscopic findings of the resected specimen confirmed the presence of an inflammatory polyp. Eighteen months after the polypectomy, there was no recurrence of anemia or rebleeding. These observations suggest that cold snare polypectomy combined with local saline injection may be useful in the management of small benign intestinal polyps.
