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

Pyung Kang Park; Woo-Cho Chung; Kyoung Yong Lee; Sung Hak Lee; Jae Jung Jang; Seungchul Suh

doi:10.7180/kmj.2015.30.2.171

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Case Report A Case Of Huge Brunner's Gland Adenoma With Acute Bleeding Treated By Endoscopic Resection: Pyung Kang Park¹, Woo-Cho Chung¹, Kyoung Yong Lee¹, Sung Hak Lee¹, Jae Jung Jang², Seungchul Suh¹; Kosin Medical Journal 2015;30(2):171-174.
DOI: https://doi.org/10.7180/kmj.2015.30.2.171
Published online: January 20, 2015

¹Department of Internal Medicine, Anyang-si, Gyeonggi-do, Korea.

²Department of Pathology, Anyang SAM hospital, Anyang-si, Gyeonggi-do, Korea.

Corresponding Author: Seungchul Suh, M.D. Department of Internal medicine, Anyang SAM hospital, 9, Samdeok-ro, Manan-gu, Anyang-si, Gyeonggi-do 14030, Korea Tel: +82-31-467-9110, Fax:+82-31-467-9198, E-mail: orient4@naver.com

• Received: November 5, 2014 • Accepted: February 24, 2015

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Abstract
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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 1 ㎝ 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 8㎝ 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 8 ㎝ Brunner's gland adenoma accompanied with acute bleeding as seen in this case. We diagnosed an 8 ㎝ sized, huge duodenal Brunner's gland adenoma which accompanied with acute bleeding and treated it by endoscopic resection using an IT-knife, successfully.
Keywords: adenoma; bleeding; Brunner's gland; endoscopy

Fig. 1.

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

Fig. 2.

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

Fig. 3.

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

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)

References

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

Kosin Med J. 2015;30(2):171-174. Published online January 20, 2015

DOI: https://doi.org/10.7180/kmj.2015.30.2.171

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