A Case of a Huge Duodenal Brunner's Gland Hyperplasia.
- Author:
Chung Hyun CHUN
1
;
Sung Ae JUNG
;
Ji Eun CHANG
;
Moon Sun YEOUM
;
Jung Eun SHIN
;
Mi Soon JU
;
Young Woo KIM
;
Kwon YOO
;
Il Hwan MOON
Author Information
1. Department of Internal Medicine, Ewha Womans University College of Medicine, Seoul, Korea. jassa@mm.ewha.ac.kr
- Publication Type:Case Report
- Keywords:
Brunner's gland hyperplasia;
Duodenal polyp
- MeSH:
Adult;
Ampulla of Vater;
Dizziness;
Duodenal Neoplasms;
Female;
Head;
Hemorrhage;
Humans;
Hyperplasia*;
Melena;
Polyps;
Tomography, X-Ray Computed
- From:Korean Journal of Gastrointestinal Endoscopy
2002;24(1):35-38
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
So called Brunner's gland hyperplasia is characterized by a nodular proliferation of histologically normal Brunner's gland, accompanied by ducts and scattered stromal element. The clinical presentation vary from vague epigastric disomfort to obstruction and gastrointestinal bleeding. We experienced a case of huge Brunner's gland hyperplasia presented as a huge duodenal polyp. A 28-year-old woman was refered to our hospital because of suspicious ampulla of Vater cancer or duodenal cancer in abdominal CT scan. The patient complained of dizziness and intermittent melena. The side view duodenoscopic examination revealed a huge pedunculated mass originated from the posterior wall of the duodenal bulb. The head of the polyp was placed on the ampulla of Vater with several erosions suggesting recent bleeding. Resection of duodenal polyp was performed by laparoscopic duodenotomy and Brunner's gland hyperplasia was revealed on pathologic examination.
