Original Contribution CLINICAL CASE OF ACUTE BLEEDING FROM ADENOMATOUS GASTRIC POLYP AT THE TIME OF SINGLE INTAKE OF HIGH DOSE ASPIRIN

The gastric polyps are well-circumscribed luminal lesions prominent above the plane of the gastric mucosal surface. They are a comparatively common finding and their main significance is the malignant potential of a part of them. One of the complications occurring with gastric polyps is haemorrhage- an emergency requiring prompt diagnosis and treatment. Gastric polyp haemorrhage is relatively rare cause for bleeding in the upper gastrointestinal tract (GIT). On the other hand, aspirin and the other non-steroidal anti-inflammatory drugs (NSAIDs) have been for a long time known cause of acute bleeding in GIT (particularly in the upper GIT). Complications (bleeding, perforation, obstruction) in the upper GIT occur in 1-1.5% of patients on NSAIDs and the relative risk of acute bleeding in the upper GIT at aspirin uptake is 1.5-2.5%. We report the case of a female patient with bleeding caused by adenomatous gastric polyp at the time of single intake of high dose aspirin– 2.0 g, 12 hours prior the hospitalisation. The patient has been admitted to hospital in the condition of hemorrhagic shock. During the emergency esophagogastroduodenoscopy has been found massive bleeding from the surface of a large gastric polyp, managed by snare polypectomy (using coagulation electrode). In this case the polypectomy is a therapeutic method, being an alternative to surgery.