Giant duodenal hamartoma consisting mainly of Brunner's glands.
A successfully treated case of a duodenal hamartoma is presented. A review of the literature has shown that this is the largest such tumor so far described, and the first time a mass was palpable on abdominal examination. Its large size resulted in pyloric obstruction, and its wide attachment to the duodenum necessitated a Polya-type partial gastrectomy during its removal. The pathologic controversy which has led to the classification of these Brunner's gland proliferations as duodenal hamartomas is briefly presented.
D002011:Brunner Glands; D004379:Duodenal Neoplasms / Q000150:complications / Q000473:pathology* / Q000601:surgery; D004386:Duodenum; D005260:Female; D006222:Hamartoma / Q000473:pathology* / Q000601:surgery; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology; D008875:Middle Aged