A CASE REPORT OF MASSIVE BLEEDING DURING ENDOSCOPY AFTER ENDOSCOPIC POLYPECTOMY

Abstract

A 58 years old female was admitted to our institute, complaining of general fatigue, nausea and vomiting. Upper GI series and endoscopy revealed a large pedunculated polyp (30×27mm) at the lower corpus of the stomach. Existence of malignancy could not be neglected completely. although all of the biopsy specimens were compatible to an benign adenomatous polyp and endoscopic polypectomy was performed. Bleeding was not recognized at the time of endoscopic polypectomy. During endoscopy which was done 5 days after the endoscopic polypectomy, a massive bleeding occured and urgent operation was performed. Resected specimen was his-tologically diagnosed as tubular adenocarcinoma, invading the sub mucosal layer and regional lymphatic vessels. From this experience, it is advised to pay attention to the possibility of bleeding on occasion of an endoscopy immediately after endoscopic polypectomy.