Kosin Medical Journal  2015;30(2):171-174

doi:10.7180/kmj.2015.30.2.171

A Case Of Huge Brunner's Gland Adenoma With Acute Bleeding Treated By Endoscopic Resection.

Pyung Kang PARK 1 ; Woo Cho CHUNG ; Kyoung Yong LEE ; Sung Hak LEE ; Jae Jung JANG ; Seungchul SUH

Affiliations

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Keywords

adenoma; bleeding; Brunner's gland; endoscopy

Country

Republic of Korea

Language

Korean

Abstract

Brunner's gland adenoma is a rare benign small bowel neoplasm and it represents 10% of small bowel benign tumor. Most of adenoma manifest as polypoidal, multiple and size does not exceed 1 cm and mostly asymptomatic, but the lesion larger than 1cm is solitary and can cause bleeding, obstruction, intussusception and there are some reports of showing malignant transformation. Until the present, there are two cases of over cm huge Brunner's gland adenoma in Korea and each of their chief complaint was abdominal discomfort and melena, but there is no case report of over 8cm Brunner's gland adenoma accompanied with acute bleeding as seen in this case. We diagnosed an 8cm sized, huge duodenal Brunner's gland adenoma which accompanied with acute bleeding and treated it by endoscopic resection using an IT-knife, successfully.