[A case of giant Brunner's gland hyperplasia combined with adenomyomatous hyperplasia]

Joo Won Chung, Joo Hee Seo, Seung Woo Park, Si Young Song, Jae Bock Chung, Sang Kyum Kim, Ho Keun Kim, Seungmin Bang
Korean Journal of Gastroenterology, Taehan Sohwagi Hakhoe Chi 2008, 52 (6): 384-8
Brunner's gland hyperplasia is a rare tumor of the duodenum and might also be an unusual cause of gastrointestinal bleeding. In symptomatic patients, treatment requires either surgical resection or endoscopic polypectomy. We report a case of upper gastrointestinal bleeding from a pedunculated Brunner's gland hyperplasia in the duodenal bulb. Endoscopic resection using the detachable snare and hemoclipping was instituted to remove a large pedunculated polyp. The pathologic diagnosis was Brunner's gland hyperplasia with adenomyomatous hyperplasia.

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