A Case of Giant Brunner's Gland Adenoma Originating from the Gastric Pylorus Associated with Severe Anemia and Intussusception / 대한소화기내시경학회지
Korean Journal of Gastrointestinal Endoscopy
; : 100-104, 2007.
Article
in Ko
| WPRIM
| ID: wpr-144476
Responsible library:
WPRO
ABSTRACT
Brunner'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 5.5x4.0 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.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Pylorus
/
Adenoma
/
Melena
/
Endoscopy, Digestive System
/
Rare Diseases
/
Upper Gastrointestinal Tract
/
Duodenum
/
Dyspnea
/
Hemorrhage
/
Gastrointestinal Hemorrhage
Limits:
Adult
/
Humans
Language:
Ko
Journal:
Korean Journal of Gastrointestinal Endoscopy
Year:
2007
Type:
Article