Giant Brunneroma as an unusual cause of upper gastrointestinal hemorrhage: report of a case

Surgery Today
Yu-Meng Tan, Wai-Keong Wong

Abstract

Brunneroma, also known as Brunner's gland adenoma or harmartoma, is a rare, benign, proliferative lesion arising from the Brunner's glands of the duodenum, usually discovered incidentally at endoscopy. Occasionally, these lesions manifest as a rare cause of duodenal obstruction or upper gastrointestinal hemorrhage, and require excision. We report a case of an unusually large Brunneroma in a patient who presented with fresh melena and anemia. Although endoscopic polypectomy is the treatment of choice, we decided to perform surgical polypectomy through a laparotomy due to the huge dimensions of the lesion. The clinical and endoscopic features of this benign tumor and the therapeutic options are critically reviewed.

Citations

Jun 1, 2011·Radiology and Oncology·Ali Coskun, Nazif Erkan
Sep 27, 2014·Medizinische Klinik, Intensivmedizin und Notfallmedizin·R S GörtzJ Siebler
May 16, 2017·BMJ Case Reports·Bernadette S de BakkerThomas M van Gulik
Aug 9, 2003·The Journal of Pharmacy and Pharmacology·Naveen AhujaBhupinder Singh
Mar 17, 2017·Case Reports in Surgery·Nicola C FrenkelJeroen Hagendoorn
Dec 6, 2018·Journal of Surgical Case Reports·Srinivas BojanapuSamiran Nundy
Apr 13, 2006·World Journal of Gastroenterology : WJG·Alba RoccoGerardo Nardone
Apr 30, 2021·Advances in Therapy·Menghua ZhuXingshun Qi

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