Journal List > Kosin Med J > v.30(2) > 1057050

Park, Chung, Lee, Lee, Jang, and Suh: A Case Of Huge Brunner's Gland Adenoma With Acute Bleeding Treated By Endoscopic Resection

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.

References

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Fig. 1.
Endoscopic finding. It shows a huge pedunculated polyp with bleeding arising from the bulb.
kmj-30-171f1.tif
Fig. 2.
Endoscopic finding. It shows a cross-section of the resected stalk using an IT knife
kmj-30-171f2.tif
Fig. 3.
Gross finding. The polyp is about 80mm long and 35mm wide.
kmj-30-171f3.tif
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)
kmj-30-171f4.tif
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