History: These images are representative of the findings from a patient with cirrhosis and multiple gastric antral polyps. What is your diagnosis?
Answer: Portal hypertensive polyposis.
Comment: The polyps resemble gastric hyperplastic polyps. Similar polyps can be found in the duodenum and even the colon. Note the striking vascular ectasia.
Reference: Kara D, Hüsing-Kabar A, Schmidt H, Grünewald I, Chandhok G, Maschmeier M, Kabar I. Portal Hypertensive Polyposis in Advanced Liver Cirrhosis: The Unknown Entity? Can J Gastroenterol Hepatol. 2018 Aug 1; 2018.
This case was provided Dr. Elizabeth Montgomery, Professor of Pathology and Vice Chair of Anatomic Pathology at the University of Miami, and Editor-In-Chief of the Pathology Survival Guides at Innovative Science Press. You can check out her GI and Soft Tissue books as well as our other survival guides such as Liver, Lymph Node, Soft Tissue, Dermpath, Endocrine and more at: