Giant Brunner's Gland Hyperplasia in the Duodenal Bulb, Report of a Case Hideo Shimura 1 , Masaya Tominaga 2 , Eishi Nagai 3 , Kazuo Chijiiwa 1 , Hitoshi Ichimiya 1 1Department of Surgery Ⅰ, Faculty of Medicine, Kyushu University 2Department of Internal Medicine Ⅱ, Faculty of Medicine, Kyushu University 3Department of Pathology Ⅱ, Faculty of Medicine, Kyushu University Keyword: 十二指腸ポリープ , Brunner腺腫 , 消化管出血 , 腹腔鏡 pp.671-676
Published Date 1993/6/25
DOI https://doi.org/10.11477/mf.1403106190
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 A 76-year-old woman with a hyperplastic polyp of Brunner's gland in the duodenum is reported. She presented to us with complaints of general fatigue and chest pain due to severe anemia (Hb 4.8g/dl). Upper gastrointestinal x-ray and endoscopic examinations showed a large pedunculated polyp in the duodenal bulb. Angiography of the common hepatic artery revealed well-developed tumor vessels arising from the superior duodenal artery. Under laparoscopy, a serosal pit with abundant dilated vessels was observed at the anterior wall of the duodenum, and the polyp was laparoscopically resected after ligating the stalk with two loops. However, the loop ligatures were slipped off, and subsequent laparotomy and surgical closure were performed immediately. The polyp was 6.5×3.0×2.5 cm in size and microscopically demonstrated a hamartoma of Brunner's gland with gastric epithelium.

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