A Large Brunner’s Gland Hamartoma Causing Gastrointestinal Bleeding and Obstruction

Context: Clinical symptoms of Brunner’s gland (BG) hamartoma are rare. Most lesions are small and asymptomatic. Symptomatic BG hamartoma may mimic a malignancy of the duodenal-pancreatic area. Though standard mucosal biopsies are inferiorly diagnostic due to normal duodenal mucosa surrounding, a bio...

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Bibliographic Details
Published inDigestive surgery Vol. 24; no. 6; pp. 450 - 452
Main Authors de Nes, L.C.F., Ouwehand, F., Peters, S.H.A., Boom, M.J.
Format Journal Article
LanguageEnglish
Published Basel, Switzerland S. Karger AG 01.01.2007
Subjects
Abdominal Pain - etiology
Adult
Brunner Glands
Case Reports
Duodenal Diseases - complications
Duodenal Diseases - diagnosis
Duodenal Diseases - pathology
Duodenal Diseases - surgery
Duodenal Obstruction - etiology
Gastrointestinal Hemorrhage - etiology
Hamartoma - complications
Hamartoma - diagnosis
Hamartoma - pathology
Hamartoma - surgery
Humans
Male
Tomography, X-Ray Computed
Duodenal neoplasms
Brunner's gland hamartoma
Gastrointestinal hemorrhage
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Summary:Context: Clinical symptoms of Brunner’s gland (BG) hamartoma are rare. Most lesions are small and asymptomatic. Symptomatic BG hamartoma may mimic a malignancy of the duodenal-pancreatic area. Though standard mucosal biopsies are inferiorly diagnostic due to normal duodenal mucosa surrounding, a biopsy was indicated in this case. Case Report: We report the case of a 37-year-old man with a large BG hamartoma mimicking a malignancy. Preoperatively the biopsy led to an inconclusive diagnosis. Due to its large size and its presence of symptoms, a surgical excision was performed. Conclusion: BG hamartoma may be a rare indication for surgery.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
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ISSN:0253-4886
1421-9883
DOI:10.1159/000111075