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 / 대한소화기내시경학회지
Korean Journal of Gastrointestinal Endoscopy
; : 38-41, 2009.
Article
in Ko
| WPRIM
| ID: wpr-154704
Responsible library:
WPRO
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.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Polyps
/
Pylorus
/
Vomiting
/
Brunner Glands
/
Adenoma
/
Duodenum
/
Hemorrhage
Limits:
Humans
Language:
Ko
Journal:
Korean Journal of Gastrointestinal Endoscopy
Year:
2009
Type:
Article