내시경으로 절제한 거대 십이지장 Brunner선 선종

• Published in: The Korean journal of gastroenterology Vol. 52; no. 2; pp. 106 - 109
• Main Authors: 강병국, Byung Kook Kang, 박남선, Nam Seon Park, 진대호, Dae Ho Jin, 안태홍, Tae Hong Ahn, 박민범, Min Bom Park, 이기조, Key Jo Lee, 한윤주, Yoon Ju Han, 박효진, Hyo Jin Park
• Format: Journal Article
• Language: Korean
• Published: 대한소화기학회 30.08.2008
• Subjects: Brunner`s gland adenoma; Endoscopic resection; Gastrointestinal hemorrhage; 내과학
• ISSN: 1598-9992; 2233-6869

Brunner`s gland adenoma is a rare tumor of duodenum. Patients are usually aymptomatic and most are discovered incidentally during the upper gastrointestinal (GI) series or esophagogastroduodenoscopy. These lesions are most commonly located in the duodenal bulb and clinical manifestations are variable. In symptomatic patients, the most common manifestations are GI hemorrhage and duodenal obstruction. On histologic examination, Brunner`s gland adenoma that causes clinical symptoms is composed of hyperplastic Brunner`s glands and contains mostly an admixture of glandular, adipose, and muscular tissues. We report a case of large Brunner`s gland adenoma causing upper gastrointestinal hemorrhage in a 47-year-old woman which was successfully removed by endoscopic resection without complications such as bleeding or perforation. Microscopically, it was entirely composed of variable Brunner`s glands. (Korean J Gastroenterol 2008;52:106-109)