Hamartoma of Brunner's glands causing massive haematemesis

Scandinavian Journal of Gastroenterology
G KouraklisJ Delladetsima


Brunner's gland hamartomas are very uncommon lesions and are usually asymptomatic. A 77-year-old man was urgently operated on for massive upper gastrointestinal bleeding, associated with haematemesis. A 3.5 x 3 x 3 cm mass arising from the anterior aspect of the first part of the duodenum was found. Histologic examination showed groups of Brunner-type glands without atypia; these coexisted with heterotopic pancreatic acini and ducts. This is a very rare cause of massive upper gastrointestinal bleeding and may easily be confused with bleeding from a peptic ulcer.


Sep 1, 1986·Endoscopy·H T KhawajaD G Colin-Jones
Feb 1, 1968·The British Journal of Surgery·K L Jain, A A el Tayeb
Oct 1, 1958·Physiological Reviews·M L GROSSMAN
Jun 1, 1948·The American Journal of Digestive Diseases·A O WILENSKY

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