Brunnera's Gland Hyperplasia: Treatment of Severe Diffuse Nodular Hyperplasia Mimicking a Malignancy on Pancreatic-Duodenal Area.
10.3346/jkms.2008.23.3.540
- Author:
Woong Chul LEE
1
;
Hyeon Woong YANG
;
Yun Jung LEE
;
Sung Hee JUNG
;
Gi Young CHOI
;
Hoon GO
;
Anna KIM
;
Sang Woo CHA
Author Information
1. Division of Gastroenterology, Department of Internal Medicine, Eulji University School of Medicine, Daejeon, Korea. 20040544@eulji.ac.kr
- Publication Type:Case Report
- Keywords:
Brunner Glands;
Duodenal Neoplasms;
Duodenal Obstruction
- MeSH:
Brunner Glands/*pathology/radiography;
*Choristoma;
Diagnosis, Differential;
Duodenal Neoplasms/*pathology/radiography/surgery;
Duodenum/pathology/radiography;
Endoscopy, Gastrointestinal;
Humans;
Hyperplasia;
Male;
Middle Aged;
Pancreatic Diseases/*pathology/radiography;
Pancreaticoduodenectomy;
Severity of Illness Index;
Tomography, X-Ray Computed
- From:Journal of Korean Medical Science
2008;23(3):540-543
- CountryRepublic of Korea
- Language:English
-
Abstract:
Brunnera's gland hyperplasia is a benign tumor of the duodenum and it is rarely associated with clinical symptoms. We report on a 64-yr-old man with Brunnera's gland hyperplasia who had undergone a duodenocephalo-pancreatectomy. The reason is that he presented upper gastrointestinal obstructive symptoms and the esophagogastroduodenoscopic finding revealed the lesion to be an infiltrating type mass on the second portion of the duodenum with luminal narrowing. An abdominal computed tomography showed a 2.5 cm-sized mass in the duodenal second portion with a suspicious pancreatic invasion and 7 mm-sized lymph node around the duodenum. Duodenocephalopancreatectomy was successfully performed. Histological examination revealed a Brunnera's gland hyperplasia. The final diagnosis was the coexistence of Brunnera's gland hyperplasia and pancreatic heterotopia with a pancreatic head invasion. The literature on Brunnera's gland hyperplasia is reviewed.
