Kosin Med J.  2015 Dec;30(2):171-174. 10.7180/kmj.2015.30.2.171.

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

• Park PK
• Chung WC
• Lee KY
• Lee SH
• Jang JJ
• Suh S

• KMID: 2150504
• DOI: http://doi.org/10.7180/kmj.2015.30.2.171

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.

Keyword

adenoma; bleeding; Brunner's gland; endoscopy

MeSH Terms

Adenoma*
Endoscopy
Hemorrhage*
Intussusception
Korea
Melena

Figure

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  Fig. 1. Endoscopic finding. It shows a huge pedunculated polyp with bleeding arising from the bulb.

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  Fig. 2. Endoscopic finding. It shows a cross-section of the resected stalk using an IT knife

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  Fig. 3. Gross finding. The polyp is about 80mm long and 35mm wide.

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  Fig. 4. Histological finding. The polyp consists of glands, dilated cystic ducts, adipose tissue and lymphoid cells revealing as hamartoma.(H&E staining, x 100)

Reference

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