Grand rounds and Teaching Files - Pediatric Oncall
Duodenal and Jejunal Polyps in Extra-hepatic Portal Hypertension

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Ira Shah
Consultant in Pediatric Infectious Diseases and Pediatric Hepatology, Nanavati Hospital and Incharge Pediatric HIV, TB and Liver Clinics, B J Wadia Hospital for Children, Mumbai, India.

Address for Correspondence: Dr Ira Shah, 1, B Saguna, 271, B St Francis Road, Vile Parle {W}, Mumbai 400056.

Clinical Problem:
A 7 years old boy suffering from extrahepatic portal hypertension had an episode of malena. An upper GI endoscopy was done. There was presence of Grade 1-2 esophageal varices without any bleeding stigmata. Stomach showed changes of portal gastropathy. There were multiple polyps in the duodenum and jejunum. One of the jejunal polyp was actively bleeding which was controlled by saline-adrenaline injection and bipolar heater probe coagulation. A duodenal polyp was resected and sent for histopathological evaluation.

What could be the cause of polyps in this child_?

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