Korean J Gastrointest Endosc.  2002 Jan;24(1):35-38.

A Case of a Huge Duodenal Brunner's Gland Hyperplasia

• Chun CH
• Jung SA
• Chang JE
• Yeoum MS
• Shin JE
• Ju MS
• Kim YW
• Yoo K
• Moon IH

Abstract

So called Brunner's gland hyperplasia is characterized by a nodular proliferation of histologically normal Brunner's gland, accompanied by ducts and scattered stromal element. The clinical presentation vary from vague epigastric disomfort to obstruction and gastrointestinal bleeding. We experienced a case of huge Brunner's gland hyperplasia presented as a huge duodenal polyp. A 28-year-old woman was refered to our hospital because of suspicious ampulla of Vater cancer or duodenal cancer in abdominal CT scan. The patient complained of dizziness and intermittent melena. The side view duodenoscopic examination revealed a huge pedunculated mass originated from the posterior wall of the duodenal bulb. The head of the polyp was placed on the ampulla of Vater with several erosions suggesting recent bleeding. Resection of duodenal polyp was performed by laparoscopic duodenotomy and Brunner's gland hyperplasia was revealed on pathologic examination.

Keyword

Brunner's gland hyperplasia; Duodenal polyp

MeSH Terms

Adult
Ampulla of Vater
Dizziness
Duodenal Neoplasms
Female
Head
Hemorrhage
Humans
Hyperplasia*
Melena
Polyps
Tomography, X-Ray Computed