Travers Paul, Pang Maoyin
Department of Internal Medicine, Mayo Clinic, Jacksonville, FL.
Department of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, FL.
ACG Case Rep J. 2023 Mar 16;10(3):e00992. doi: 10.14309/crj.0000000000000992. eCollection 2023 Mar.
Chronic gastrointestinal bleeding is the leading cause of iron deficiency anemia in developed countries, and most occult bleeds are attributed to upper gastrointestinal tract lesions, which are broadly categorized into mass lesions, vascular, infectious, and inflammatory abnormalities. Gastric polyps account for an exceedingly small portion of these lesions but are of clinical importance because of the risk for progression to malignancy. We describe a patient found to have a gastric foveolar-type adenoma as a rare cause of iron deficiency anemia, with an incidentally found gastric neuroendocrine tumor.
在发达国家，慢性胃肠道出血是缺铁性贫血的主要原因，大多数隐匿性出血归因于上消化道病变，这些病变大致可分为肿块性病变、血管性病变、感染性病变和炎性异常。胃息肉在这些病变中所占比例极小，但因其有恶变风险而具有临床重要性。我们描述了一名患者，其被发现患有胃小凹型腺瘤，这是缺铁性贫血的一种罕见病因，同时还意外发现了胃神经内分泌肿瘤。
