[Melena associated with a Brunner's adenoma].
A 68-year-old woman presented at the Casualty Department due to collapse, anaemia, fatigue and progressive dyspnoea. She suffered from melena, indicative of a haemorrhage in the upper gastrointestinal tract. Gastroduodenoscopy revealed the presence of a polyp in the duodenum, which was endoscopically resected. Pathological investigation demonstrated that the polyp was a Brunner's adenoma, i.e. a circumscript benign submucosal nodular hyperplasia of the Brunner's glands.
Nijland
M
M
Afd. Interne Geneeskunde, Twenteborg Ziekenhuis, Postbus 7600, 7600 SZ Almelo.
van Zanten
R A A
RA
Eijken
E
E
Veneman
Th F
TF
D000368:Aged; D002011:Brunner Glands / Q000473:pathology*; D004379:Duodenal Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D008551:Melena / Q000209:etiology*