Multiple Duodenal Polyps in a Young Patient With Liver Cirrhosis

Abstract

A woman in her mid-20s with recently decompensated liver cirrhosis secondary to autoimmune hepatitis was evaluated for liver transplantation. Esophagogastroduodenoscopy was performed to screen for esophageal/gastric varices. The patient had nonspecific mild abdominal pain and dyspepsia without diarrhea or constipation. Laboratory findings were remarkable for iron deficiency anemia with a hemoglobin level of 9.5 g/dL and a ferritin level of 10 μg/L. Esophagogastroduodenoscopy revealed multiple pedunculated polyps with superficial ulcerations ranging in size from 8 to 20 mm throughout the second part of the duodenum (Figure 1).