Pedunculated Brunner's gland hamartoma of the duodenum causing upper gastrointestinal hemorrhage

查看全文 作　　者：Shoji [1]Hirasaki;Motoharu [1]Kubo;Atsushi [1]Inoue;Yasuyuki [1]Miyake;Hisako [1]Oshiro

机构地区：[1]Department of Internal Medicine,Kubo Hospital,Imabari 7992116,Japan

出　　处：《World Journal of Gastroenterology》索引2009年第15卷第3期,共3页

摘　　要：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. 关键词：BRUNNER腺增生内窥镜息肉切除胃肠出血

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Pedunculated Brunner's gland hamartoma of the duodenum causing upper gastrointestinal hemorrhage

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