Mauricio Jones, DO, Jonathan Ramirez, MD Baylor Scott & White, Temple, TX
Introduction: A lymphoid polyp is a focal proliferation of gut-associated lymphoid follicles. Lymphoid polyps are rarely found in adults and are more common in children. We present a case of a 64-year-old male with two large benign lymph node polyps located in the descending colon and rectum. Histopathology examination confirms that the two polyps biopsied are indeed benign. It is very rare to find a case of polyps of lymph origin in an adult. Given the limited amount of cases of colonic lymphoid polyps, it can pose a diagnostic challenge.
Case Description/Methods: The case presents a morbidly obese 51-year-old male who was referred to Gastroenterology Clinic for Colonoscopy. Past medical history significant for obesity, hyperlipidemia, and asthma. He denies any family history of gastrointestinal malignancy or inflammatory bowel disease. Examination noncontributory other than morbid obesity. Presented to outpatient GI clinic for routine screening colonoscopy.
Discussion: Benign lymphoid hyperplasia in an adult is a rare finding. These polyps can present as a single polyp or multiple polypoid lesions. It is essential to first differentiate these lesions from malignant lymphoma. This distinction is important in order to avoid unnecessary intervention or surgery. This case will carefully explain the steps that are taken in order to make the distinction in diagnosis.
Figure: Colonoscopy images of polyps
Disclosures:
Mauricio Jones indicated no relevant financial relationships.
Jonathan Ramirez indicated no relevant financial relationships.
Mauricio Jones, DO, Jonathan Ramirez, MD. P1695 - Lymphoid Polyp in Adult Patient, ACG 2023 Annual Scientific Meeting Abstracts. Vancouver, BC, Canada: American College of Gastroenterology.
