Large Brunner’s Gland Hyperplasia with Bleeding: A Case Report
We report a rare case of a large Brunner’s gland hyperplasia (BGH) with severe anemia. A 33-year-old woman was transferred to our hospital with anemia and a duodenal mass. She had a 2-week history of melena and mild shortness of breath. Her hemoglobin level was 4.9 g/dl, and she required a blood tra...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2021-01-01
|
| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2021/8861308 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849690458955972608 |
|---|---|
| author | Yuki Okutomi Takaharu Kato Hidetoshi Aizawa Yuhei Endo Naoya Kasahara Fumiaki Watanabe Hiroshi Noda Toishiki Rikiyama |
| author_facet | Yuki Okutomi Takaharu Kato Hidetoshi Aizawa Yuhei Endo Naoya Kasahara Fumiaki Watanabe Hiroshi Noda Toishiki Rikiyama |
| author_sort | Yuki Okutomi |
| collection | DOAJ |
| description | We report a rare case of a large Brunner’s gland hyperplasia (BGH) with severe anemia. A 33-year-old woman was transferred to our hospital with anemia and a duodenal mass. She had a 2-week history of melena and mild shortness of breath. Her hemoglobin level was 4.9 g/dl, and she required a blood transfusion. Abdominal computed tomography revealed a 7 cm tumor in the descending duodenum, and duodenoscopy revealed a polyp-like tumor with an ulcer at the duodenal bulb. We decided to perform surgery to prevent further bleeding. Intraoperatively, the tumor stalk was located at the anterior wall of the duodenal bulb; the ampulla was not involved, and we resected the tumor with the wall of the duodenal bulb. The resected tumor measured 7.0×4.0×2.3 cm, and pathologically, the tumor consisted of proliferated Brunner’s glands in a small amount of fibrous stroma. The histological diagnosis was BGH with no malignancy. Most cases of BGH are benign and asymptomatic; however, it is important to be aware that some patients have severe anemia, gastrointestinal obstruction, or malignant potential. |
| format | Article |
| id | doaj-art-ebe4fd6a2502464ea633cec7ddbddcd9 |
| institution | DOAJ |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-ebe4fd6a2502464ea633cec7ddbddcd92025-08-20T03:21:18ZengWileyCase Reports in Surgery2090-69002090-69192021-01-01202110.1155/2021/88613088861308Large Brunner’s Gland Hyperplasia with Bleeding: A Case ReportYuki Okutomi0Takaharu Kato1Hidetoshi Aizawa2Yuhei Endo3Naoya Kasahara4Fumiaki Watanabe5Hiroshi Noda6Toishiki Rikiyama7Department of Surgery, Saitama Medical Center, Jichi Medical University, 1-847, Amanuma-cho, Omiya-ku, Saitama 330-8503, JapanDepartment of Surgery, Saitama Medical Center, Jichi Medical University, 1-847, Amanuma-cho, Omiya-ku, Saitama 330-8503, JapanDepartment of Surgery, Saitama Medical Center, Jichi Medical University, 1-847, Amanuma-cho, Omiya-ku, Saitama 330-8503, JapanDepartment of Surgery, Saitama Medical Center, Jichi Medical University, 1-847, Amanuma-cho, Omiya-ku, Saitama 330-8503, JapanDepartment of Surgery, Saitama Medical Center, Jichi Medical University, 1-847, Amanuma-cho, Omiya-ku, Saitama 330-8503, JapanDepartment of Surgery, Saitama Medical Center, Jichi Medical University, 1-847, Amanuma-cho, Omiya-ku, Saitama 330-8503, JapanDepartment of Surgery, Saitama Medical Center, Jichi Medical University, 1-847, Amanuma-cho, Omiya-ku, Saitama 330-8503, JapanDepartment of Surgery, Saitama Medical Center, Jichi Medical University, 1-847, Amanuma-cho, Omiya-ku, Saitama 330-8503, JapanWe report a rare case of a large Brunner’s gland hyperplasia (BGH) with severe anemia. A 33-year-old woman was transferred to our hospital with anemia and a duodenal mass. She had a 2-week history of melena and mild shortness of breath. Her hemoglobin level was 4.9 g/dl, and she required a blood transfusion. Abdominal computed tomography revealed a 7 cm tumor in the descending duodenum, and duodenoscopy revealed a polyp-like tumor with an ulcer at the duodenal bulb. We decided to perform surgery to prevent further bleeding. Intraoperatively, the tumor stalk was located at the anterior wall of the duodenal bulb; the ampulla was not involved, and we resected the tumor with the wall of the duodenal bulb. The resected tumor measured 7.0×4.0×2.3 cm, and pathologically, the tumor consisted of proliferated Brunner’s glands in a small amount of fibrous stroma. The histological diagnosis was BGH with no malignancy. Most cases of BGH are benign and asymptomatic; however, it is important to be aware that some patients have severe anemia, gastrointestinal obstruction, or malignant potential.http://dx.doi.org/10.1155/2021/8861308 |
| spellingShingle | Yuki Okutomi Takaharu Kato Hidetoshi Aizawa Yuhei Endo Naoya Kasahara Fumiaki Watanabe Hiroshi Noda Toishiki Rikiyama Large Brunner’s Gland Hyperplasia with Bleeding: A Case Report Case Reports in Surgery |
| title | Large Brunner’s Gland Hyperplasia with Bleeding: A Case Report |
| title_full | Large Brunner’s Gland Hyperplasia with Bleeding: A Case Report |
| title_fullStr | Large Brunner’s Gland Hyperplasia with Bleeding: A Case Report |
| title_full_unstemmed | Large Brunner’s Gland Hyperplasia with Bleeding: A Case Report |
| title_short | Large Brunner’s Gland Hyperplasia with Bleeding: A Case Report |
| title_sort | large brunner s gland hyperplasia with bleeding a case report |
| url | http://dx.doi.org/10.1155/2021/8861308 |
| work_keys_str_mv | AT yukiokutomi largebrunnersglandhyperplasiawithbleedingacasereport AT takaharukato largebrunnersglandhyperplasiawithbleedingacasereport AT hidetoshiaizawa largebrunnersglandhyperplasiawithbleedingacasereport AT yuheiendo largebrunnersglandhyperplasiawithbleedingacasereport AT naoyakasahara largebrunnersglandhyperplasiawithbleedingacasereport AT fumiakiwatanabe largebrunnersglandhyperplasiawithbleedingacasereport AT hiroshinoda largebrunnersglandhyperplasiawithbleedingacasereport AT toishikirikiyama largebrunnersglandhyperplasiawithbleedingacasereport |