A case of Brunner's gland hamartoma presenting as obscure gastrointestinal hemorrhage.
Brunner's gland hamartomas are rare tumors of duodenum, they are often discovered incidentally during esophagogastroduodenoscopy or upper gastrointestinal series. These tumors arise mainly in the duodenal bulb and can present with gastrointestinal hemorrhage and intestinal obstruction. Most of Brunner's gland hamartomas are located within the range of the standard esophagogastroduodenoscope. However, they are rarely located below the third portion of duodenum. As well known, the small intestine, including the 4th portion of duodenum, jejunum, and ileum, is relatively inaccessible with routine endoscopy. Thus, the diagnosis of Brunner's gland hamartoma in these area can be delayed up to several months after onset of symptoms. We report a case of Brunner's gland hamartoma which was located in the fourth portion of the duodenum and presented as obscure gastrointestinal hemorrhage. Radiologic, surgical, and pathologic appearances are presented.
Park
Chang Hwan
CH
Department of Internal Medicine, Chonnam National University College of Medicine, Dong-gu, Gwangju, Korea. p1052ccy@hanmail.net
Lee
Soo Jung
SJ
Park
Jeong Ho
JH
Park
Jae Hong
JH
Lee
Wan Sik
WS
Joo
Young Eun
YE
Kim
Hyun Soo
HS
Choi
Sung Kyu
SK
Rew
Jong Sun
JS
Ryu
Seong Yeob
SY
Lee
Min Cheul
MC
Kim
Sei Jong
SJ
D002011:Brunner Glands; D004378:Duodenal Diseases / Q000150:complications* / Q000175:diagnosis; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006222:Hamartoma / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008875:Middle Aged