Gastritis Cystica Polyposa: A Rare Cause of Abdominal Pain and Early Satiety Treated with Endoscopic Resection

Excerpt

A 51-year-old Korean–American woman with a history of untreated Helicobacter (H.) pylori infection was referred for an evaluation of left upper quadrant abdominal pain and early satiety. She denied associated symptoms, such as nausea, vomiting, or a change in bowel habits. She had experienced left lower quadrant pain in the past but more recently had been having left upper quadrant discomfort with fullness and early satiety. She denied the use of tobacco or alcohol and had no family history of gastric malignancy. She was diagnosed with mild iron-deficiency anemia (serum hemoglobin: 11.2 g/dl, ferritin: 11 ng/ml, negative fecal occult blood test) approximately 1 year prior. A subsequent colonoscopy was normal. She did not take iron supplements. A follow-up CBC revealed hemoglobin of 12 g/dl and hematocrit of 36.9%. A computed tomography (CT) scan with contrast performed for an evaluation of abdominal pain revealed a 2.3-cm polypoid intraluminal gastric mass arising from the greater curvature of the proximal stomach (Fig. 1a, b). An upper endoscopy was requested to further evaluate the mass lesion and to exclude possible malignancy.

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