A Case of Giant Brunner's Gland Adenoma Originating from the Gastric Pylorus Associated with Severe Anemia and Intussusception
2007; Korean Society of Gastrointestinal Endoscopy; Volume: 35; Issue: 2 Linguagem: Inglês
ISSN
2234-2443
AutoresJeong-Hwan Cho, Jin-Seok Jang, Chae-Ryeong Jang, Seunguk Lee, Myung-Hwan Roh, Sang‐Young Han, Seok-Reyol Choi, Jin-Han Cho, Sook Hee Hong,
Tópico(s)Gastric Cancer Management and Outcomes
ResumoBrunner'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 5.5 4.0 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. (Korean J Gastrointest Endosc 2007;35:100-104)
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