A case of gastric hyperplastic polyp with spurting bleeding

Abstract

The patient was a 67-year-old man with a history of cerebral infarction and clopidogrel use. Upper gastrointestinal endoscopy was performed to investigate the cause of his anemia imaging revealed multiple gastric hyperplastic polyps that were easily hemorrhagic. We diagnosed gastric hyperplastic polyps as the cause of anemia and planned to perform EMR. Endoscopy revealed a large amount of blood clots in the stomach and a 10 mm polyp with eruptive bleeding was found and resected by EMR. Bleeding from hyperplastic gastric polyps is often minimal, and severe bleeding, as in this case, is rare. In this case, clopidogrel therapy likely contributed to the increased bleeding susceptibility.