Article

Landulocystic Gastric Polyposis

Abstract

It is about a 43-year-old patient with no past medical history who consulted for dyspeptic disorders and vomiting. The clinical examination was without abnormalities. Esophagogastroduodenoscopy revealed innumerable sessile polyps in the stomach's cardia, fundus, and body There were no polyps in the stomach antrum. H. pylori infection was not found in biopsies taken from the stomach body and antrum. A colonoscopy was performed showing the appearance of diffuse rectocolonic polyposis. The diagnosis of polyposis adenomatous familial (PAF) was retained and a genetic investigation was initiated within the family. The patient was operated on and a total prophylactic coloproctectomy was performed. The postoperative follow-up was simple. The anatomopathological study showed an appearance of rectocolic PAF without signs of degeneration. Periodic monitoring of gastric lesions was planned. But the vomiting became uncontrollable and the laboratory tests showed electrolyte disturbances which were difficult to balance (compensate) [1,2]. Surgery was decided and a total gastrectomy was performed Figure 1. Pathological examination of the operative specimen was in favor of gastric glandulocystic polyposis without signs of dysplasia or degeneration.