# An Atypical Cause of Upper Gastrointestinal Bleeding in an Elderly Patient

## TL;DR

An elderly patient with upper GI bleeding had a large, ulcerated gastric polyp that was successfully removed endoscopically.

## Contribution

This case report highlights the rare presentation of a bleeding hyperplastic gastric polyp and the effectiveness of endoscopic resection.

## Key findings

- A 3.6 cm ulcerated, pedunculated gastric polyp was found to be the source of upper GI bleeding in a 69-year-old male.
- Endoscopic resection with hemoclips successfully achieved hemostasis and confirmed the lesion was a benign hyperplastic polyp.
- The case emphasizes the need to consider bleeding polyps in the differential diagnosis of upper GI bleeding.

## Abstract

Hyperplastic gastric polyps are typically benign and asymptomatic, often found incidentally during endoscopy. However, rare cases may present with bleeding, especially when polyps are large, ulcerated, or pedunculated. We report a 69-year-old male with melena and symptomatic anemia who was found to have a 3.6 cm ulcerated, pedunculated gastric polyp on endoscopy. The lesion was resected with a snare, and hemostasis was achieved with hemoclips. Pathology confirmed a hyperplastic polyp without dysplasia or malignancy. This case highlights the importance of considering bleeding polyps in the differential diagnosis of upper gastrointestinal (GI) bleeding and the dual diagnostic-therapeutic role of endoscopic resection.