title: Brunner's gland hamartoma: a rare cause of iron deficiency anaemia and report of an adapted colonic polyp resection technique.
abstract: A man aged 65 years presented with symptomatic anaemia without overt gastrointestinal bleeding. An oesophagogastroduodenoscopy (EGD) was performed and he was found to have a large ulcerated pedunculated Brunner's gland hamartoma in the duodenal bulb. The polyp was resected using snare cautery in forward and retroflexed positions. Colonoscopy was also performed and a few diminutive polyps were resected. A year later, the patient returned for a surveillance EGD, and no residual polyp was noted. Haemoglobin and iron studies normalised within a few months after polypectomy, with resolution of symptoms.
authors.affiliation: John D Dingell VA Medical Center, Detroit, Michigan, USA.
authors.forename: Stephanie
authors.initials: S
authors.lastname: Judd
authors.affiliation: Department of Gastroenterology, Detroit Medical Center, Detroit, Michigan, USA.
authors.forename: Suhag
authors.initials: S
authors.lastname: Patel
authors.affiliation: John D Dingell VA Medical Center, Detroit, Michigan, USA.
authors.forename: Edi
authors.initials: E
authors.lastname: Levi
authors.affiliation: John D Dingell VA Medical Center, Detroit, Michigan, USA.
authors.forename: Fadi
authors.initials: F
authors.lastname: Antaki
mesh_terms: D000368:Aged; D018798:Anemia, Iron-Deficiency; D002011:Brunner Glands / Q000473:pathology* / Q000601:surgery; D003111:Colonic Polyps / Q000175:diagnosis / Q000601:surgery*; D004378:Duodenal Diseases / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D006222:Hamartoma / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D006801:Humans; D008297:Male; D016896:Treatment Outcome