[A case of giant heterotopic Brunner's gland adenoma prolapsing into the duodenum].
A 81-year-old woman admitted with general fatigue was found to have a giant polyp in the gastric antrum by endoscopy. The polyp prolapsed into the duodenum through the pylorus. Angiographic examination of the abdomen revealed the polyp to be about 90×35 mm in size. Laparotomy was performed. It was finally diagnosed as heterotopic Brunner's gland adenoma which had a stalk on the antrum of the stomach. Heterotopic Brunner's gland adenoma is rare. Only 3 cases including the present case have been reported in Japan.
Department of Internal Medicine, Center for Gastroenterology, Nara Prefectural Gojo Hospital.
Daisuke
D
Kobe
Hiroto
H
Moriyasu
Yousuke
Y
Aihara
Kiminori
K
Tsuro
Kousuke
K
Takeda
Yasuhiro
Y
Maekawa
Shinya
S
Sakurai
Yoshihiro
Y
Nakatani
Masami
M
Matsumoto
Satoshi
S
Yasuda
Takashi
T
Hachisuka
Atsushi
A
Yoshimura
Keishi
K
Shimada
D000236:Adenoma / Q000473:pathology*; D000369:Aged, 80 and over; D002011:Brunner Glands / Q000473:pathology*; D002828:Choristoma / Q000473:pathology*; D004386:Duodenum; D019723:Endoscopes; D005260:Female; D006801:Humans; D011391:Prolapse; D013274:Stomach Neoplasms / Q000473:pathology*