A Giant Brunneroma Causing Gastrointestinal Bleeding and Severe Anemia Requiring Transfusion and Surgery
Brunner’s gland hamartoma, also called hyperplasia, adenoma, and Brunneroma, is an extremely rare benign proliferative lesion of Brunner’s glands in the duodenum. While being mostly small and asymptomatic, they can result in gastrointestinal bleeding and obstruction. We report the case of a 54-year-...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2017/6940649 |
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| author | Nicola C. Frenkel Miangela M. Laclé Inne H. M. Borel Rinkes Izaak Q. Molenaar Jeroen Hagendoorn |
| author_facet | Nicola C. Frenkel Miangela M. Laclé Inne H. M. Borel Rinkes Izaak Q. Molenaar Jeroen Hagendoorn |
| author_sort | Nicola C. Frenkel |
| collection | DOAJ |
| description | Brunner’s gland hamartoma, also called hyperplasia, adenoma, and Brunneroma, is an extremely rare benign proliferative lesion of Brunner’s glands in the duodenum. While being mostly small and asymptomatic, they can result in gastrointestinal bleeding and obstruction. We report the case of a 54-year-old man presenting with melena and severe anemia requiring blood transfusion. CT scans showed a large mass of 8 cm in diameter, presumably arising in the duodenum. Endoscopic biopsies were not conclusive. As we were unable to determine the nature of the mass preoperatively and due to the severe symptoms, its size, and the uncertain malignant potential, a classic Whipple procedure was performed. The resected specimen showed extensive proliferation of Brunner’s glands without signs of malignancy. |
| format | Article |
| id | doaj-art-74163abc4cc3443d98c2604003e2f584 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-74163abc4cc3443d98c2604003e2f5842025-02-03T01:09:03ZengWileyCase Reports in Surgery2090-69002090-69192017-01-01201710.1155/2017/69406496940649A Giant Brunneroma Causing Gastrointestinal Bleeding and Severe Anemia Requiring Transfusion and SurgeryNicola C. Frenkel0Miangela M. Laclé1Inne H. M. Borel Rinkes2Izaak Q. Molenaar3Jeroen Hagendoorn4Department of Surgery, University Medical Center Utrecht, Utrecht, NetherlandsDepartment of Pathology, University Medical Center Utrecht, Utrecht, NetherlandsDepartment of Surgery, University Medical Center Utrecht, Utrecht, NetherlandsDepartment of Surgery, University Medical Center Utrecht, Utrecht, NetherlandsDepartment of Surgery, University Medical Center Utrecht, Utrecht, NetherlandsBrunner’s gland hamartoma, also called hyperplasia, adenoma, and Brunneroma, is an extremely rare benign proliferative lesion of Brunner’s glands in the duodenum. While being mostly small and asymptomatic, they can result in gastrointestinal bleeding and obstruction. We report the case of a 54-year-old man presenting with melena and severe anemia requiring blood transfusion. CT scans showed a large mass of 8 cm in diameter, presumably arising in the duodenum. Endoscopic biopsies were not conclusive. As we were unable to determine the nature of the mass preoperatively and due to the severe symptoms, its size, and the uncertain malignant potential, a classic Whipple procedure was performed. The resected specimen showed extensive proliferation of Brunner’s glands without signs of malignancy.http://dx.doi.org/10.1155/2017/6940649 |
| spellingShingle | Nicola C. Frenkel Miangela M. Laclé Inne H. M. Borel Rinkes Izaak Q. Molenaar Jeroen Hagendoorn A Giant Brunneroma Causing Gastrointestinal Bleeding and Severe Anemia Requiring Transfusion and Surgery Case Reports in Surgery |
| title | A Giant Brunneroma Causing Gastrointestinal Bleeding and Severe Anemia Requiring Transfusion and Surgery |
| title_full | A Giant Brunneroma Causing Gastrointestinal Bleeding and Severe Anemia Requiring Transfusion and Surgery |
| title_fullStr | A Giant Brunneroma Causing Gastrointestinal Bleeding and Severe Anemia Requiring Transfusion and Surgery |
| title_full_unstemmed | A Giant Brunneroma Causing Gastrointestinal Bleeding and Severe Anemia Requiring Transfusion and Surgery |
| title_short | A Giant Brunneroma Causing Gastrointestinal Bleeding and Severe Anemia Requiring Transfusion and Surgery |
| title_sort | giant brunneroma causing gastrointestinal bleeding and severe anemia requiring transfusion and surgery |
| url | http://dx.doi.org/10.1155/2017/6940649 |
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