Abstract:
:A case of pedunculated Brunner's gland hamartoma (BGH) of the duodenum causing upper gastrointestinal (GI) hemorrhage is reported. The patient was a 47-year-old man who visited our hospital for further evaluation of tarry stools and shortness of breath. Endoscopic examination of the upper digestive tract revealed a large peduncular polyp with bleeding, about 30 mm in diameter, arising from the wall of the second portion of the duodenum. GI bleeding occurred from the base of the stalk of the polyp. Endoscopic polypectomy was performed. Histological examination of the specimen revealed that the main body of the polyp contained several lobules of mature Brunner's gland with areas of cystic dilatation. The surface epithelium consisted of normal duodenal mucosa with areas of focal ulceration. This polyp was diagnosed as a BGH. The symptom of tarry stools resolved after endoscopic resection. Our case shows that treatment is necessary for duodenal BGH if GI bleeding occurs.
journal_name
World J Gastroenteroljournal_title
World journal of gastroenterologyauthors
Hirasaki S,Kubo M,Inoue A,Miyake Y,Oshiro Hdoi
10.3748/wjg.15.373subject
Has Abstractpub_date
2009-01-21 00:00:00pages
373-5issue
3eissn
1007-9327issn
2219-2840journal_volume
15pub_type
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