[Endoscopic resection of a giant duodenal Brunner's gland adenoma].
Brunner's gland adenoma is a rare tumor of duodenum. Patients are usually aymptomatic and most are discovered incidentally during the upper gastrointestinal (GI) series or esophagogastroduodenoscopy. These lesions are most commonly located in the duodenal bulb and clinical manifestations are variable. In symptomatic patients, the most common manifestations are GI hemorrhage and duodenal obstruction. On histologic examination, Brunner's gland adenoma that causes clinical symptoms is composed of hyperplastic Brunner's glands and contains mostly an admixture of glandular, adipose, and muscular tissues. We report a case of large Brunner's gland adenoma causing upper gastrointestinal hemorrhage in a 47-year-old woman which was successfully removed by endoscopic resection without complications such as bleeding or perforation. Microscopically, it was entirely composed of variable Brunner's glands.
Kang
Byung Kook
BK
Department of Internal Medicine, Seoul Red Cross Hospital, Seoul, Korea.
Park
Nam Seon
NS
Jin
Dae Ho
DH
Ahn
Tae Hong
TH
Park
Min Bom
MB
Lee
Key Jo
KJ
Han
Yoon Ju
YJ
Park
Hyo Jin
HJ
D000236:Adenoma / Q000150:complications / Q000473:pathology* / Q000601:surgery; D002011:Brunner Glands / Q000473:pathology* / Q000601:surgery; D004379:Duodenal Neoplasms / Q000150:complications / Q000473:pathology* / Q000601:surgery; D004384:Duodenoscopy; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006801:Humans; D008875:Middle Aged