PMC2729239_01
(a) Axial CT through the gastric cardia demonstrates large lobular folds forming a mass-like configuration. (b) Axial CT through the gastric body shows a distended stomach with multiple lobular mass-like folds.
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fig1
A CT of the abdomen with IV and oral contrast revealed a markedly distended stomach due to mass-like fold thickening and areas of hemorrhage (Figure 1).
(a) Image obtained during upper endoscopy of the stomach demonstrates multiple polyps and edematous mucosa. (b) Image obtained during upper endoscopy of the stomach demonstrates numerous polyps which coalesce, giving a mass-like appearance.
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fig2
Upper endoscopy showed large mucinous fungating friable folds and numerous polyps of various sizes in the fundus and proximal body of the stomach (Figure 2).
Histopathology of gastric mucosa. (a) Gastric polyp with hyperplastic features of foveolar epithelium (curved arrows) in a background of prominent lamina propria edema and inflammation (straight arrow). (b) Nonpolypoid gastric mucosa. Similar features are present; hyperplastic epithelium (curved arrows) and lamina propria edema (straight arrow) as in Panel (a).
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fig3
Biopsies of the lesions from the stomach and rectum both showed inflamed and edematous epithelium with associated prominent foveolar hyperplasia (Figure 3).