A large Brunner's gland hamartoma causing gastrointestinal bleeding and obstruction

Digestive Surgery
L C F de NesM J Boom

Abstract

Clinical symptoms of Brunner's gland (BG) hamartoma are rare. Most lesions are small and asymptomatic. Symptomatic BG hamartoma may mimic a malignancy of the duodenal-pancreatic area. Though standard mucosal biopsies are inferiorly diagnostic due to normal duodenal mucosa surrounding, a biopsy was indicated in this case. We report the case of a 37-year-old man with a large BG hamartoma mimicking a malignancy. Preoperatively the biopsy led to an inconclusive diagnosis. Due to its large size and its presence of symptoms, a surgical excision was performed. BG hamartoma may be a rare indication for surgery.

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Citations

Jan 14, 2009·World Journal of Gastroenterology : WJG·Shoji HirasakiHisako Oshiro
Apr 2, 2014·Clinical Nuclear Medicine·Seol Hoon ParkJae Seung Kim
Jan 13, 2012·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Janna Berendina HouwersNikolaas Hofstee
Jun 13, 2019·Canadian Journal of Gastroenterology & Hepatology·Sabahattin Destek, Vahit Onur Gul
Oct 16, 2014·Journal of Gastrointestinal Cancer·Maneesh KhannaDevendra Kumar
Apr 23, 2020·Indian Journal of Pathology & Microbiology·Smita NathPremashis Kar
Dec 21, 2016·Journal of Surgical Case Reports·Khortnal Delvecchio, Susan Seman

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