A Case of Giant Brunner's Gland Adenoma Originating from the Gastric Pylorus Associated with Severe Anemia and Intussusception.
- Author:
Jeong Hwan CHO
1
;
Jin Seok JANG
;
Chae Ryeong JANG
;
Seung Uk LEE
;
Myung Hwan ROH
;
Sang Young HAN
;
Seok Reyol CHOI
;
Jin Han CHO
;
Sook Hee HONG
Author Information
1. Department of Internal Medicine, Suyeong-Hanseo Hospital, Korea.
- Publication Type:Case Report
- Keywords:
Giant Brunner's gland adenoma;
Pylorus;
Hemorrhage;
Intussusception
- MeSH:
Adenoma*;
Adult;
Anemia*;
Duodenum;
Dyspnea;
Endoscopy, Digestive System;
Gastrointestinal Hemorrhage;
Hemorrhage;
Humans;
Intussusception*;
Melena;
Pylorus*;
Rare Diseases;
Upper Gastrointestinal Tract
- From:Korean Journal of Gastrointestinal Endoscopy
2007;35(2):100-104
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Brunner's gland adenoma is characterized by benign proliferation of the normal Brunner's gland, and is a relatively rare disease that accounts for only 10% of benign duodenal tumors. It is usually found in the bulb and second portion of the duodenum, but is rarely found in the pylorus. The clinical manifestations vary from non-specific upper abdominal symptoms to obstruction, intussusception and gastrointestinal hemorrhage. It is a benign lesion but rarely undergoes malignant transformation. Management of Brunner's gland adenoma involves complete removal of the lesion. We experienced a 43-year-old man who had complained of melena and dyspnea on exertion. An esophagogastroduodenoscopy and computed tomography of the upper gastrointestinal tract demonstrated the presence of a 5.5x4.0 cm sized hyperemic and lobulated large mass with hemorrhage that originated from the pylorus and was intussuscepted into the duodenum. Resection of the tumor revealed that it was a Brunner's gland adenoma on a histological examination.
