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CC BY-NC-ND 4.0 · Journal of Gastrointestinal Infections
DOI: 10.1055/s-0045-1811250
Case Report

Helicobacter pylori Gastritis Presenting as an Umbilicated Polypoidal Lesion

Authors

  • Srinu Deshidi 

    1   Department of Gastroenterology, Krishna Institute of Medical Sciences, Secunderabad, Telangana, India

  • Gaurav Mahajan 

    2   Department of Gastroenterology, Indian Naval Hospital Ship (INHS) Asvini, Mumbai, Maharashtra, India

  • Sreekanth Appasani

    1   Department of Gastroenterology, Krishna Institute of Medical Sciences, Secunderabad, Telangana, India

Funding None.
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Abstract

Dyspepsia is characterized by chronic or recurrent pain in the upper abdomen and is the most common indication for upper gastrointestinal endoscopy. One-third of dyspeptic patients in India have Helicobacter pylori infection. Endoscopic findings suggestive of H. pylori infection include mucosal atrophy, diffuse redness, spotty redness, mucosal swelling, ulcerations, and nodularity. Lymphoid hyperplasia of the stomach is a benign and nonspecific condition that occurs due to chronic H. pylori infection and is characterized histologically by an increase in the size and number of lymphoid follicles. It appears endoscopically as a nodule or rarely as an umbilicated polypoid lesion. We report a case of dyspepsia who presented with epigastric pain and post-prandial abdominal fullness that did not respond to proton-pump inhibitors and underwent gastroscopy, which revealed an umbilicated polypoidal lesion in the antrum, which turned out to be H. pylori-associated chronic active gastritis.

Keywords

dyspepsia - gastritis - Helicobacter pylori - umbilicated nodule

Ethical Statement

None.


Authors' Contributions

All authors contributed equally to the article.


Data Availability Statement

There is no data associated with this work.




Publication History

Received: 28 February 2025

Accepted: 27 July 2025

Article published online:
06 October 2025

© 2025. Gastrointestinal Infection Society of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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