Endoscopic Resection of a Pedunculated Brunner’s Gland Hamartoma of the Duodenum
A 68-year-old Japanese woman presented with a solitary pedunculated polyp in the duodenum. Endoscopic ultrasonography showed multiple cystic structures in the polyp. The polyp was successfully resected by endoscopic snare polypectomy and pathologically diagnosed as Brunner’s gland hamartoma. Because...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2016-01-01
|
| Series: | Case Reports in Gastrointestinal Medicine |
| Online Access: | http://dx.doi.org/10.1155/2016/6707235 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832567051172970496 |
|---|---|
| author | Masaya Iwamuro Takehiro Tanaka Satoko Ando Tatsuhiro Gotoda Hiromitsu Kanzaki Seiji Kawano Yoshiro Kawahara Hiroyuki Okada |
| author_facet | Masaya Iwamuro Takehiro Tanaka Satoko Ando Tatsuhiro Gotoda Hiromitsu Kanzaki Seiji Kawano Yoshiro Kawahara Hiroyuki Okada |
| author_sort | Masaya Iwamuro |
| collection | DOAJ |
| description | A 68-year-old Japanese woman presented with a solitary pedunculated polyp in the duodenum. Endoscopic ultrasonography showed multiple cystic structures in the polyp. The polyp was successfully resected by endoscopic snare polypectomy and pathologically diagnosed as Brunner’s gland hamartoma. Because hamartomatous components were not identified in the stalk of the polyp, we speculate that the stalk developed from traction of the normal duodenal mucosa. When a solitary, pedunculated polyp with cystic structure within the submucosa is found in the duodenum, Brunner’s gland hamartoma should be considered in the differential diagnosis, despite the rarity of the disease. This case underscores the usefulness of endoscopic ultrasonography for the diagnosis of duodenal subepithelial tumors. |
| format | Article |
| id | doaj-art-ad971d189f704bafa00ed2d453fbae3a |
| institution | Kabale University |
| issn | 2090-6528 2090-6536 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Gastrointestinal Medicine |
| spelling | doaj-art-ad971d189f704bafa00ed2d453fbae3a2025-02-03T01:02:33ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362016-01-01201610.1155/2016/67072356707235Endoscopic Resection of a Pedunculated Brunner’s Gland Hamartoma of the DuodenumMasaya Iwamuro0Takehiro Tanaka1Satoko Ando2Tatsuhiro Gotoda3Hiromitsu Kanzaki4Seiji Kawano5Yoshiro Kawahara6Hiroyuki Okada7Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-ku, Okayama 700-8558, JapanDepartment of Pathology, Okayama University Hospital, Okayama 700-8558, JapanDepartment of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-ku, Okayama 700-8558, JapanDepartment of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-ku, Okayama 700-8558, JapanDepartment of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-ku, Okayama 700-8558, JapanDepartment of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-ku, Okayama 700-8558, JapanDepartment of Endoscopy, Okayama University Hospital, Okayama 700-8558, JapanDepartment of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-ku, Okayama 700-8558, JapanA 68-year-old Japanese woman presented with a solitary pedunculated polyp in the duodenum. Endoscopic ultrasonography showed multiple cystic structures in the polyp. The polyp was successfully resected by endoscopic snare polypectomy and pathologically diagnosed as Brunner’s gland hamartoma. Because hamartomatous components were not identified in the stalk of the polyp, we speculate that the stalk developed from traction of the normal duodenal mucosa. When a solitary, pedunculated polyp with cystic structure within the submucosa is found in the duodenum, Brunner’s gland hamartoma should be considered in the differential diagnosis, despite the rarity of the disease. This case underscores the usefulness of endoscopic ultrasonography for the diagnosis of duodenal subepithelial tumors.http://dx.doi.org/10.1155/2016/6707235 |
| spellingShingle | Masaya Iwamuro Takehiro Tanaka Satoko Ando Tatsuhiro Gotoda Hiromitsu Kanzaki Seiji Kawano Yoshiro Kawahara Hiroyuki Okada Endoscopic Resection of a Pedunculated Brunner’s Gland Hamartoma of the Duodenum Case Reports in Gastrointestinal Medicine |
| title | Endoscopic Resection of a Pedunculated Brunner’s Gland Hamartoma of the Duodenum |
| title_full | Endoscopic Resection of a Pedunculated Brunner’s Gland Hamartoma of the Duodenum |
| title_fullStr | Endoscopic Resection of a Pedunculated Brunner’s Gland Hamartoma of the Duodenum |
| title_full_unstemmed | Endoscopic Resection of a Pedunculated Brunner’s Gland Hamartoma of the Duodenum |
| title_short | Endoscopic Resection of a Pedunculated Brunner’s Gland Hamartoma of the Duodenum |
| title_sort | endoscopic resection of a pedunculated brunner s gland hamartoma of the duodenum |
| url | http://dx.doi.org/10.1155/2016/6707235 |
| work_keys_str_mv | AT masayaiwamuro endoscopicresectionofapedunculatedbrunnersglandhamartomaoftheduodenum AT takehirotanaka endoscopicresectionofapedunculatedbrunnersglandhamartomaoftheduodenum AT satokoando endoscopicresectionofapedunculatedbrunnersglandhamartomaoftheduodenum AT tatsuhirogotoda endoscopicresectionofapedunculatedbrunnersglandhamartomaoftheduodenum AT hiromitsukanzaki endoscopicresectionofapedunculatedbrunnersglandhamartomaoftheduodenum AT seijikawano endoscopicresectionofapedunculatedbrunnersglandhamartomaoftheduodenum AT yoshirokawahara endoscopicresectionofapedunculatedbrunnersglandhamartomaoftheduodenum AT hiroyukiokada endoscopicresectionofapedunculatedbrunnersglandhamartomaoftheduodenum |