An Atypical Cause of Upper Gastrointestinal Bleeding in an Elderly Patient

Hyperplastic gastric polyps are typically benign and asymptomatic, often found incidentally during endoscopy. However, rare cases may present with bleeding, especially when polyps are large, ulcerated, or pedunculated. We report a 69-year-old male with melena and symptomatic anemia who was found to have a 3.6 cm ulcerated, pedunculated gastric polyp on endoscopy. The lesion was resected with a snare, and hemostasis was achieved with hemoclips. Pathology confirmed a hyperplastic polyp without dysplasia or malignancy. This case highlights the importance of considering bleeding polyps in the differential diagnosis of upper gastrointestinal (GI) bleeding and the dual diagnostic-therapeutic role of endoscopic resection.