Endoscopic removal of a brunneroma with EUS guidance.
Brunner glands are compound tubular submucosal glands typically found in the duodenal bulb. The most common benign tumors of the small intestine are adenoma, and 25% of these occur in the duodenum. Among the benign tumors of the duodenum, 30-50% arise from the Brunner glands. Most of the literature describes their presentations as ranging from benign, nonspecific, epigastric discomfort to obstruction and intestinal bleeding. A good percentage of them are surgically resected; however, there has been an advancement to remove them endoscopically. We present one of the first cases of an endoscopic ultrasound (EUS) approach to the diagnosis and therapeutic removal of a brunneroma.
Division of Gastroenterology, Hepatology, and Nutrition, and Department of Pathology, Winthrop University Hospital, Mineola, NY 11501, USA. jpbabich@aol.com
Jay P
JP
Babich
Jonathan
J
Klein
David M
DM
Friedel
D000236:Adenoma / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D000368:Aged; D002011:Brunner Glands / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D004379:Duodenal Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D004384:Duodenoscopy / Q000379:methods*; D004564:Electrocoagulation; D005260:Female; D006801:Humans; D014463:Ultrasonography