Abstract
A 54-year-old man who had undergone Billroth II gastrectomy for duodenal ulcer 20 years ago, was admitted because of melena and dizziness. Emergency endoscopy revealed a protruding lesion along the anatomosis of the gastrojejunostomy site and Dieulafoy-like ulcer on the posterior site of the protruding lesion. Dieulafoy-like ulcer was successfully controlled by local injection of absolute ethyl alcohol through endoscope. Partial polypectomy of the protruding lesion was carried out for the purpose of the proper diagnosis after 17 days on admission. Histologically, the specimen was confirmed as Gastritis Cystica Polyposa (GCP) as proposed by Littler et al. On the previous literatures, many reports indicated that some of GCP cases were discovered by GI bleeding, and GCP have been considered to be reconstruction of the gastric mucosa after severe inflammation due to bile reflux from the jejunum to the remnant stomach, including the vascular displasia. Therefore, as our case, it is possible that GCP and Dieulafoy-like ulcer may occur at the same time.
