Case reports cover portal hypertensive polyps, hemophagocytic lymphohistiocytosis

Gastroenterology and hepatology topics were covered recently in Annals of Internal Medicine: Clinical Cases.

An image/video case published on Feb. 18 described a rare instance of portal hypertensive polyps in chronic heart and liver disease, presenting with acute blood loss anemia. The patient was a 58-year-old man with chronic nonischemic cardiomyopathy and nonalcoholic cirrhosis awaiting dual-organ transplantation.

The other case, also published Feb. 18, involved hemophagocytic lymphohistiocytosis as a complication of peritoneal dialysis-associated peritonitis and miliary tuberculosis. A 60-year-old woman who had recently begun dialysis presented with jaundice and anasarca a month after being treated for bacterial peritonitis. An investigation revealed disseminated tuberculosis. It is the first such case to be reported in the United States, to the authors' knowledge.