AI Article Synopsis
- It is often discovered incidentally during endoscopies or imaging since most cases are small and do not cause symptoms, but larger or symptomatic lesions may need surgical removal.
- A patient who experienced vomiting and lack of appetite ultimately required surgery for peptic ulcer perforation, and further complications led to a decision for antrectomy, revealing Brunner's gland hyperplasia through pathology results.
Article Abstract
Brunner's gland hyperplasia constitutes 10.6% of benign tumors of the duodenum, with an incidence of 0.008%. It is usually an incidental finding during endoscopy or imaging tests as they are small and asymptomatic. In the case of symptomatic tumors, resection of the lesion is indicated. In lesions ≤2 cm, endoscopic resection can be chosen, reserving surgery for larger lesions or endoscopically inaccessible ones. We present the case of a patient with a history of vomiting and hyporexia of months of evolution who presented peptic ulcer perforation and underwent surgery. During follow-up, she presented intestinal obstruction due to pyloric stenosis. Given the impossibility of ruling out a neoplastic process with certainty in diagnostic tests, surgical resection (antrectomy) was decided with an anatomopathological finding of Brunner's gland hyperplasia.
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| http://dx.doi.org/10.17235/reed.2023.9538/2023 | DOI Listing |
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