Brunner’s gland adenoma – a rare cause of gastrointestinal bleeding

Czech version

Authors: M. Kliment
Authors‘ workplace: Gastroenterologie und Hepatologie, Klinik für Innere Medizin, Vivantes Klinikum Spandau, Berlin, Německo
Published in: Gastroent Hepatol 2018; 72(3): 225-230
Category:
doi: https://doi.org/10.14735/amgh2018228

Overview

Brunner’s gland adenomas are rare benign tumors of the duodenum, which are often diagnosed incidentally during esophagogastroduodenoscopy or upper gastrointestinal series. The lesions are most commonly asymptomatic, but a minority of patients may present with symptoms of duodenal obstruction or hemorrhage secondary to ulceration. Histologically, a Brunner’s gland adenoma consists of components of Brunner’s gland cells, as well as glandular, adipose and muscle cells. We report a case of a 53-year-old woman with a Brunner’s gland adenoma with a size of 3.5 cm, causing an upper gastrointestinal bleeding. Endosonography revealed a highly vascularized duodenal tumor arising from the submucosa. After histological examination of an endosonographically guided fine needle aspiration biopsy revealed a Brunner’s gland adenoma, the adenoma was successfully removed using a polypectomy snare and an endoloop. We also present a literature review, including other therapy options.

Key words:
Brunner’s gland – duodenal polyp – gastrointestinal bleeding – endoscopic polypectomy

The author declares he has no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE „uniform requirements“ for biomedical papers.

Submitted: 19. 4. 2018

Accepted: 12. 5. 2018

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