Brunner's gland adenoma (Brunneroma) is a rare entity. We report a patient who presented with severe anemia due to bleed from a large Brunneroma arising from the duodenal bulb, and was managed successfully by surgical excision of the tumor.
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Brunner's Gland Hyperplasia: A Massive Duodenal Lesion.
Cureus
April 2020
Gastroenterology, University of Louisville, Louisville, USA.
A 57-year-old male with a history of gastroesophageal reflux disease and esophageal strictures presented with melena and abdominal pain. He underwent an esophagogastroduodenoscopy, which revealed a 5-cm duodenal bulb mass causing partial obstruction of the gastric outlet. Endoscopic ultrasound showed a 5-cm, hypoechoic lesion, arising from the mucosal layer, with a large blood vessel feeding the lesion.
View Article and Find Full Text PDFGiant brunneroma originating from pylorus imitating duodenopancreatic malignancy.
Niger J Clin Pract
September 2019
Division of Gastroenterology, Department of Internal Medicine, Sanko University, Faculty of Medicine, Sehitkamil, Gaziantep, Turkey.
Brunner's gland adenoma is usually asymptomatic and sometimes accompanied by nausea, vomiting and swelling. İt is often confused with duodenal malignancy, which may mislead and the physician about its treatment. We want to present a case of a 40-year-old female with a history of weight loss, vomiting and nausea since six months.
View Article and Find Full Text PDFBrunner's gland hamartoma presenting as gastric outlet obstruction: unusual presentation and review of literature.
Trop Doct
January 2020
Additional Professor, Department of GI Surgery AIIMS Rishikesh, Rishikesh, India.
Brunner's gland hamartoma (or Brunneroma) is an uncommon tumour with an incidence of <0.01%, accounting for approximately 5-10% of benign duodenal tumours. Usually asymptomatic, it may manifest occasionally with duodenal obstruction or upper gastrointestinal haemorrhage and rarely with biliary fistulation, cholestatic jaundice and intussusception.
View Article and Find Full Text PDFEUS core biopsy leading to duodenal brunneroma diagnosis.
Gastrointest Endosc
December 2017
Division of Gastroenterology and Hepatology, University of Wisconsin, Madison, Wisconsin, USA.
A Giant Brunneroma Causing Gastrointestinal Bleeding and Severe Anemia Requiring Transfusion and Surgery.
Case Rep Surg
February 2017
Department of Surgery, University Medical Center Utrecht, Utrecht, Netherlands.
Brunner's gland hamartoma, also called hyperplasia, adenoma, and Brunneroma, is an extremely rare benign proliferative lesion of Brunner's glands in the duodenum. While being mostly small and asymptomatic, they can result in gastrointestinal bleeding and obstruction. We report the case of a 54-year-old man presenting with melena and severe anemia requiring blood transfusion.
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