title: [Melena associated with a Brunner's adenoma].
abstract: 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.
authors.affiliation: Afd. Interne Geneeskunde, Twenteborg Ziekenhuis, Postbus 7600, 7600 SZ Almelo.
authors.forename: M
authors.initials: M
authors.lastname: Nijland
authors.forename: R A A
authors.initials: RA
authors.lastname: van Zanten
authors.forename: E
authors.initials: E
authors.lastname: Eijken
authors.forename: Th F
authors.initials: TF
authors.lastname: Veneman
mesh_terms: D000368:Aged; D002011:Brunner Glands / Q000473:pathology*; D004379:Duodenal Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D008551:Melena / Q000209:etiology*