scholarly journals Brunner’s gland hamartoma presenting as gastric outlet obstruction: unusual presentation and review of literature

2019 ◽  
Vol 50 (1) ◽  
pp. 68-70
Author(s):  
Amit Gupta ◽  
Depak Rajput ◽  
Utkarsh Kumar ◽  
Sweety Gupta ◽  
Ashok Singh ◽  
...  
Keyword(s):  
Gastric Outlet Obstruction ◽  
Gastrointestinal Endoscopy ◽  
Outlet Obstruction ◽  
Gastrointestinal Haemorrhage ◽  
Surgical Excision ◽  
Upper Gastrointestinal Endoscopy ◽  
Brunner’S Gland ◽  
Brunner's Gland ◽  
Brunner’S Gland Hamartoma ◽  
Upper Gastrointestinal

Brunner’s gland hamartoma (or Brunneroma) is an uncommon tumour with an incidence of <0.01%, accounting for approximately 5–10% of benign duodenal tumours. Usually asymptomatic, it may manifest occasionally with duodenal obstruction or upper gastrointestinal haemorrhage and rarely with biliary fistulation, cholestatic jaundice and intussusception. It may be associated with uraemia and chronic pancreatitis. The diagnosis is usually confirmed by imaging studies and upper gastrointestinal endoscopy. Surgical excision or endoscopic resection is preferred for symptomatic large hamartomas. Here we report a case of 45-year-old man presenting with features of pancreatitis and gastric outlet obstruction due to a large Brunner’s gland hamartoma, on his endoscopic, radiologic, surgical and pathologic findings.

scholarly journals Endoscopic resection of a giant symptomatic Brunner’s gland hamartoma of duodenal bulb

2019 ◽  
Vol 8 (2) ◽  
pp. 30-32
Author(s):  
Umid Kumar Shrestha ◽  
Gopi Aryal
Keyword(s):  
Duodenal Bulb ◽  
Complete Removal ◽  
Endoscopic Polypectomy ◽  
Upper Gastrointestinal Endoscopy ◽  
Polypoidal Mass ◽  
Brunner’S Gland ◽  
Brunner's Gland ◽  
Duodenal Lumen ◽  
Brunner’S Gland Hamartoma ◽  
Upper Gastrointestinal

Brunner's gland hamartoma is a very rare benign tumor arising from the Brunner’s gland of duodenum and is usually asymptomatic, but may present with the symptom of duodenal obstruction or upper gastrointestinal bleeding due to ulceration from the tumor, requiring endoscopic or surgical resection. In our study, we report the case of a 57 year-old male who presented with pain over epigastrium, recurrent vomiting, black stool and dizziness with a lowering of hemoglobin up to 7.5 gm/dl. The blood transfusion was done to raise the hemoglobin. The upper gastrointestinal endoscopy revealed a giant submucosal polypoidal mass with a thick short stalk in duodenal bulb causing almost complete obstruction of the lumen of duodenum and there was a superficial ulceration on the under-surface of the mass. The endoscopic ultrasound revealed a submucosal lesion arising from the echo layer three. The computed tomography of abdomen showed that the polypoidal mass was confined to the duodenal lumen with no significant lumphadenopathy and normal biliary and pancreas. The endoscopic polypectomy was attempted, but the lesion was too large to grab the polyp as a whole with the conventional snare. Hence, the repeated partial snare polypectomies were done, followed by submucosal dissection to ensure the complete removal of the mass. There were no complications after the procedure. The histopathology examination of the duodenal mass confirmed the diagnosis of Brunner’s gland hamartoma and showed the presence of Helicobacter pylori as well. The endoscopic treatment of giant Brunner’s gland hamartoma avoided the need of unnecessary more invasive surgical procedure.  

scholarly journals Large Brunner’s gland hamartoma with annular stricture causing gastric outlet obstruction

2016 ◽  
Vol 31 (2) ◽  
pp. 392-395
Author(s):  
In Tae Hwang ◽  
Young Bum Cho ◽  
Dong Eun Park ◽  
Keum Ha Choi ◽  
Tae Hyeon Kim
Keyword(s):  
Gastric Outlet Obstruction ◽  
Outlet Obstruction ◽  
Brunner’S Gland ◽  
Brunner's Gland ◽  
Brunner’S Gland Hamartoma

Brunner's gland hyperplasia causing gastric outlet obstruction in a 3-year-old child

2016 ◽  
Vol 102 (3) ◽  
pp. 231-231 ◽  
Author(s):  
Lucy Henderson ◽  
Cathy Richards ◽  
Anne Willmott ◽  
Haitham Dagash
Keyword(s):  
Gastric Outlet Obstruction ◽  
Outlet Obstruction ◽  
Brunner’S Gland ◽  
Brunner's Gland

The Diagnosis and Prognosis of Upper Gastrointestinal Haemorrhage

1980 ◽  
Vol 66 (1) ◽  
pp. 11-14
Author(s):  
R.H. Hunt
Keyword(s):  
Gastrointestinal Bleeding ◽  
Gastrointestinal Endoscopy ◽  
Upper Gastrointestinal Bleeding ◽  
Gastrointestinal Haemorrhage ◽  
Accurate Diagnosis ◽  
Upper Gastrointestinal Endoscopy ◽  
The Past ◽  
Diagnosis And Prognosis ◽  
Upper Gastrointestinal ◽  
Overall Mortality

AbstractThere have been major advances in the diagnosis and management of upper gastrointestinal bleeding over the past two decades but the overall mortality figure remains about 10 per cent. This paper reviews the place of upper gastrointestinal endoscopy in diagnosis and discusses the argument that this form of earlier, more accurate diagnosis has had no influence on the outcome of the condition.

Gastric outlet obstruction by Brunner's gland hyperplasia in an 8-year-old child

2009 ◽  
Vol 44 (4) ◽  
pp. e21-e24 ◽  
Author(s):  
Ikbel El Faleh ◽  
Nicolas Lutz ◽  
Maria-Chiara Osterheld ◽  
Olivier Reinberg ◽  
Andreas Nydegger
Keyword(s):  
Gastric Outlet Obstruction ◽  
Outlet Obstruction ◽  
Brunner’S Gland ◽  
Brunner's Gland

scholarly journals Giant Brunner’s Gland Hamartoma of the Duodenal Bulb Presenting with Upper Gastrointestinal Bleeding and Obstruction

2016 ◽  
Vol 49 (6) ◽  
pp. 570-574 ◽  
Author(s):  
Ju Hyoung Lee ◽  
Kyeong Min Jo ◽  
Tae Oh Kim ◽  
Jong Ha Park ◽  
Seung Hyun Park ◽  
...  
Keyword(s):  
Gastrointestinal Bleeding ◽  
Upper Gastrointestinal Bleeding ◽  
Duodenal Bulb ◽  
Brunner’S Gland ◽  
Brunner's Gland ◽  
Brunner’S Gland Hamartoma ◽  
Upper Gastrointestinal

Bouveret-szindróma

2021 ◽  
Vol 162 (49) ◽  
pp. 1982-1986
Keyword(s):  
Gastric Outlet Obstruction ◽  
Elderly Women ◽  
Epigastric Pain ◽  
Outlet Obstruction ◽  
Abdominal Ultrasound ◽  
Therapeutic Options ◽  
Upper Gastrointestinal Endoscopy ◽  
Rare Form ◽  
Bouveret Syndrome ◽  
Upper Gastrointestinal

Összefoglaló. A Bouveret-szindróma egy bilioenteralis fistulán keresztül a vékonybélbe – az esetek 85%-ában a duodenumba – jutó nagy epekő okozta bélelzáródást jelenti. Leggyakrabban idős nők körében fordul elő. Jelen közleményünk célja e kórkép tüneteinek, diagnosztikájának és terápiás lehetőségeinek ismertetése egy esetbemutatás kapcsán. A 79 éves nőbeteg felvételi hasi panaszainak hátterében típusos gyomorkimenet-obstrukciós szindrómát okozó, a duodenumban beékelődött epekő, Bouveret-szindróma igazolódott. A diagnózist az elvégzett natív hasi röntgen és hasi ultrahangvizsgálatok már felvetették, de megerősítésére további képalkotó vizsgálatot (hasi CT) és endoszkópos beavatkozást végeztünk. Ezt követően sebészeti beavatkozás történt, melynek során a cholecystoduodenalis fistula zárása és az epekő eltávolítása után a beteg gyógyultan távozott. Közleményünkben a diagnózisfelállítás idejének fontosságáról, illetve a terápiás lehetőségekről számolunk be, valamint szeretnénk felhívni a figyelmet az epekő okozta gyomorürülési zavar ezen ritka formájára. Orv Hetil. 2021; 162(49): 1982–1986. Summary. Bouveret syndrome is a rare form of bowel obstruction resulting to the small intestine – in 85% of the cases to the duodenum – caused by a gallstone from a bilioenteral fistula. It occurs most commonly in elderly women. The aim of the present study is to describe the symptoms, diagnostic and therapeutic options of Bouveret syndrome due to our case report. The background of epigastric pain of the 79-year-old woman was the typical gastric outlet obstruction syndrome caused by Bouveret syndrome with an impacted gallstone into the duodenum. This diagnosis was suggested by abdominal X-ray and abdominal ultrasound; however, it was confirmed with abdominal computer tomography and upper gastrointestinal endoscopy. This was followed by surgical intervention to close the cholecystoduodenal fistula and remove the gallstone, finally the cured patient was discharged. In our study, we summarize the importance of timely diagnosis and therapeutic options, respectively, furthermore, draw attention to this rare form of gallstone-caused gastric outlet obstruction syndrome. Orv Hetil. 2021; 162(49): 1982–1986.

scholarly journals Acute Pancreatitis and Upper Gastrointestinal Bleeding as Presenting Symptoms of a Duodenal Brunner’s Gland Hamartoma

2006 ◽  
Vol 20 (8) ◽  
pp. 541-542 ◽  
Author(s):  
Edy Stermer ◽  
Nizar Elias ◽  
Dean Keren ◽  
Tova Rainis ◽  
Omer Goldstein ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Gastrointestinal Bleeding ◽  
Upper Gastrointestinal Bleeding ◽  
English Literature ◽  
Presenting Symptoms ◽  
Acute Upper Gastrointestinal Bleeding ◽  
Brunner’S Gland ◽  
Brunner's Gland ◽  
Brunner’S Gland Hamartoma ◽  
Upper Gastrointestinal

Brunner’s gland hamartomas are rare, benign small bowel tumours. There were fewer than 150 cases reported in the English literature until the end of the last century. These hamartomas may be discovered incidentally during an upper gastrointestinal tract endoscopy. Otherwise, they may be diagnosed in patients presenting with acute upper gastrointestinal bleeding, anemia or symptoms of intestinal obstruction. The case of a young woman admitted for acute upper gastrointestinal bleeding along with acute pancreatitis is presented. The investigation revealed a giant Brunner’s gland hamartoma in the second part of the duodenum. After total endoscopic resection of the tumour, the patient has remained completely asymptomatic for a follow-up period of seven months.

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