Giant Brunner’s Gland Hamartoma of the Duodenal Bulb Presenting with Upper Gastrointestinal Bleeding and Obstruction
Brunner’s gland hamartomas are small benign lesions that are most commonly found in the bulb of the duodenum. They are very uncommon, and most are found incidentally during upper gastrointestinal series or esophagogastroduodenoscopy. The lesions tend to be asymptomatic, but patients may present with...
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Hoon Jai Chun
2016-11-01
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doaj-3dcac9ee7f0d451681218cec26bc8a4d2020-11-24T22:39:11ZengHoon Jai ChunClinical Endoscopy2234-24002234-24432016-11-0149657057410.5946/ce.2016.0226929Giant Brunner’s Gland Hamartoma of the Duodenal Bulb Presenting with Upper Gastrointestinal Bleeding and ObstructionJu Hyoung Lee0Kyeong Min Jo1Tae Oh Kim2Jong Ha Park3Seung Hyun Park4Jae Won Jung5So Chong Hur6Sung Yeun Yang7 Division of Gastroenterology, Department of Internal Medicine, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea Division of Gastroenterology, Department of Internal Medicine, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea Division of Gastroenterology, Department of Internal Medicine, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea Division of Gastroenterology, Department of Internal Medicine, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea Division of Gastroenterology, Department of Internal Medicine, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea Division of Gastroenterology, Department of Internal Medicine, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea Division of Gastroenterology, Department of Internal Medicine, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea Division of Gastroenterology, Department of Internal Medicine, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, KoreaBrunner’s gland hamartomas are small benign lesions that are most commonly found in the bulb of the duodenum. They are very uncommon, and most are found incidentally during upper gastrointestinal series or esophagogastroduodenoscopy. The lesions tend to be asymptomatic, but patients may present with symptoms of duodenal obstruction or hemorrhage secondary to ulceration. Histologically, a Brunner's gland hamartoma consists of the components of Brunner's gland cells, as well as glandular, adipose and muscle cells. In this study, we report the case of a 30-year-old man who presented with upper gastrointestinal bleeding and obstructive symptoms due to a giant Brunner's gland hamartoma in the duodenal bulb. The hamartoma was successfully removed by endoscopic resection. No significant complications were observed. Microscopically, the lesion was found to be entirely composed of variable Brunner's glands and adipocytes.http://www.e-ce.org/upload/pdf/ce-2016-022.pdfBrunner glandsHamartomaGastrointestinal bleedingGastrointestinal obstruction |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ju Hyoung Lee Kyeong Min Jo Tae Oh Kim Jong Ha Park Seung Hyun Park Jae Won Jung So Chong Hur Sung Yeun Yang |
spellingShingle |
Ju Hyoung Lee Kyeong Min Jo Tae Oh Kim Jong Ha Park Seung Hyun Park Jae Won Jung So Chong Hur Sung Yeun Yang Giant Brunner’s Gland Hamartoma of the Duodenal Bulb Presenting with Upper Gastrointestinal Bleeding and Obstruction Clinical Endoscopy Brunner glands Hamartoma Gastrointestinal bleeding Gastrointestinal obstruction |
author_facet |
Ju Hyoung Lee Kyeong Min Jo Tae Oh Kim Jong Ha Park Seung Hyun Park Jae Won Jung So Chong Hur Sung Yeun Yang |
author_sort |
Ju Hyoung Lee |
title |
Giant Brunner’s Gland Hamartoma of the Duodenal Bulb Presenting with Upper Gastrointestinal Bleeding and Obstruction |
title_short |
Giant Brunner’s Gland Hamartoma of the Duodenal Bulb Presenting with Upper Gastrointestinal Bleeding and Obstruction |
title_full |
Giant Brunner’s Gland Hamartoma of the Duodenal Bulb Presenting with Upper Gastrointestinal Bleeding and Obstruction |
title_fullStr |
Giant Brunner’s Gland Hamartoma of the Duodenal Bulb Presenting with Upper Gastrointestinal Bleeding and Obstruction |
title_full_unstemmed |
Giant Brunner’s Gland Hamartoma of the Duodenal Bulb Presenting with Upper Gastrointestinal Bleeding and Obstruction |
title_sort |
giant brunner’s gland hamartoma of the duodenal bulb presenting with upper gastrointestinal bleeding and obstruction |
publisher |
Hoon Jai Chun |
series |
Clinical Endoscopy |
issn |
2234-2400 2234-2443 |
publishDate |
2016-11-01 |
description |
Brunner’s gland hamartomas are small benign lesions that are most commonly found in the bulb of the duodenum. They are very uncommon, and most are found incidentally during upper gastrointestinal series or esophagogastroduodenoscopy. The lesions tend to be asymptomatic, but patients may present with symptoms of duodenal obstruction or hemorrhage secondary to ulceration. Histologically, a Brunner's gland hamartoma consists of the components of Brunner's gland cells, as well as glandular, adipose and muscle cells. In this study, we report the case of a 30-year-old man who presented with upper gastrointestinal bleeding and obstructive symptoms due to a giant Brunner's gland hamartoma in the duodenal bulb. The hamartoma was successfully removed by endoscopic resection. No significant complications were observed. Microscopically, the lesion was found to be entirely composed of variable Brunner's glands and adipocytes. |
topic |
Brunner glands Hamartoma Gastrointestinal bleeding Gastrointestinal obstruction |
url |
http://www.e-ce.org/upload/pdf/ce-2016-022.pdf |
work_keys_str_mv |
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