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KMID : 0359020070350020100
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Korean Journal of Gastrointestinal Endoscopy
2007 Volume.35 No. 2 p.100 ~ p.104
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A Case of Giant Brunner’s Gland Adenoma Originating from the Gastric Pylorus Associated with Severe Anemia and Intussusception
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Cho Jeong-Hwan
Jang Jin-Seok
Jang Chae-Ryeong
Lee Sung-Wook
Roh Myung-Hwan
Han Sang-Young
Choi Seok-Reyol
Cho Jin-Han
Hong Sook-Hee
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Abstract
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Brunner’s gland adenoma is characterized by benign proliferation of the normal Brunner’s gland, and is a relatively rare disease that accounts for only 10% of benign duodenal tumors. It is usually found in the bulb and second portion of the duodenum, but is rarely found in the pylorus. The clinical manifestations vary from non-specific upper abdominal symptoms to obstruction, intussusception and gastrointestinal hemorrhage. It is a benign lesion but rarely undergoes malignant transformation. Management of Brunner’s gland adenoma involves complete removal of the lesion. We experienced a 43-year-old man who had complained of melena and dyspnea on exertion. An esophagogastroduodenoscopy and computed tomography of the upper gastrointestinal tract demonstrated the presence of a 5.5?4.0 cm sized hyperemic and lobulated large mass with hemorrhage that originated from the pylorus and was intussuscepted into the duodenum. Resection of the tumor revealed that it was a Brunner’s gland adenoma on a histological examination.
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KEYWORD
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Giant Brunner’s gland adenoma, Pylorus, Hemorrhage, Intussusception
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