A Case of Unusual Shape Brunner’s Gland AdenomaBrunner’s gland adenoma is a rare entity of benign duodenal tumor. These lesions are usually |
특이한 형태의 브루너선 선종 1례 |
김성근; 강현모; 김성호; 박찬우; 원삼; 박우경; 김혜린; 이계성; 곽형종 |
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Abstract |
Brunner's gland adenoma is a rare entity of benign duodenal tumor. These lesions are usually
asymptomatic and detected incidently by radiologic studies or endoscopy. The clinical
manifestations are nonspecific gastrointestinal complaints such as bloating; dyspepsia or
epigastric discomfort; and the tumor often gives rise to bleeding or obstruction. For definitive
diagnosis and treatment; the lesions must be removed surgically or endoscopically. Endoscopic
excision is indicated if the tumor is pedunculated. We recently reported a case of very long
pedunculated duodenal polyp originating from bulb and passed through the duodenal third portion
lumen. We applied hemoclip on the base of polyp for preventing bleeding and perforation. And
then this polyp was successfully resected by endoscopic snare polypectomy. After removal; the
final pathologic diagnosis was Brunner's gland adenoma. |
Key Words:
Adenoma, Brunner's gland, Duodenum, Dyspepsia, Endoscopy |
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