A Case of Brunner's Gland Adenoma Causing a Ball-valve Obstruction: Endoscopic Treatment with a Simple Method of Endoclip-assisted Direct Resection with Using an IT-knife.
- Author:
Do Won CHOI
1
;
Jin Ki HWANG
;
Jong Jae PARK
;
Jae Won YUN
;
Min Jung KWON
;
Hyejin NOH
;
Jae Seon KIM
;
Young Tae BAK
Author Information
1. Department of Gastroenterology, Korea University Medical Center Guro Hospital, Seoul, Korea. gi7pjj@yahoo.co.kr
- Publication Type:Case Report
- Keywords:
Brunner's gland adenoma;
Ball-valve obstruction;
Endoclip;
IT-knife
- MeSH:
Adenoma;
Brunner Glands;
Duodenum;
Hemorrhage;
Humans;
Middle Aged;
Polyps;
Pylorus;
Vomiting
- From:Korean Journal of Gastrointestinal Endoscopy
2009;39(1):38-41
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Brunner's gland adenoma is a rare benign tumor that is usually asymptomatic and it the result of a benign proliferation of the Brunner's glands of the duodenum. In symptomatic patients, the common clinical presentation is gastrointestinal bleeding and obstructive symptoms. A 48-year-old man presented with abdominal discomfort and vomiting. The endoscopic examination revealed a large pedunculated polypoid mass arising in the bulb and it was prolapsing through the pylorus into the antrum, and this all resulted in a ball-valve obstruction. After endoclips were applied at the peduncle of the mass, this polyp was simply and successfully cut with using an IT-knife without bleeding or perforation. We report here on a case of Brunner's gland adenoma that caused a ball-valve obstruction, and the tumor was removed by a simple and easy method with using endoclips and an IT-knife.
