Korean J Gastrointest Endosc.  2009 Jul;39(1):38-41.

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

• Choi DW
• Hwang JK
• Park JJ
• Yun JW
• Kwon MJ
• Noh H
• Kim JS
• Bak YT

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.

Keyword

Brunner's gland adenoma; Ball-valve obstruction; Endoclip; IT-knife

MeSH Terms

Adenoma
Brunner Glands
Duodenum
Hemorrhage
Humans
Middle Aged
Polyps
Pylorus
Vomiting