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KMID : 0857020150300020171
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Kosin Medical Journal
2015 Volume.30 No. 2 p.171 ~ p.174
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A Case Of Huge Brunner’s Gland Adenoma With Acute Bleeding Treated By Endoscopic Resection
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박평강:Park Pyung-Kang
정우조:Chung Woo-Cho/이경용:Lee Kyoung-Yong/이성학:Lee Sung-Hak/장재정:Jang Jae-Jung/서승철:Suh Seung-Chul
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Abstract
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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.
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KEYWORD
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adenoma, bleeding, Brunner’s gland, endoscopy
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