Tan Yu-Meng, Wong Wai-Keong
Department of Surgery, Singapore General Hospital, Singapore 169608.
Surg Today. 2002;32(10):910-2. doi: 10.1007/s005950200179.
Brunneroma, also known as Brunner's gland adenoma or harmartoma, is a rare, benign, proliferative lesion arising from the Brunner's glands of the duodenum, usually discovered incidentally at endoscopy. Occasionally, these lesions manifest as a rare cause of duodenal obstruction or upper gastrointestinal hemorrhage, and require excision. We report a case of an unusually large Brunneroma in a patient who presented with fresh melena and anemia. Although endoscopic polypectomy is the treatment of choice, we decided to perform surgical polypectomy through a laparotomy due to the huge dimensions of the lesion. The clinical and endoscopic features of this benign tumor and the therapeutic options are critically reviewed.
布伦纳瘤，也称为布伦纳腺腺瘤或错构瘤，是一种罕见的良性增殖性病变，起源于十二指肠的布伦纳腺，通常在内镜检查时偶然发现。偶尔，这些病变表现为十二指肠梗阻或上消化道出血的罕见原因，需要切除。我们报告一例异常巨大的布伦纳瘤病例，该患者表现为新鲜黑便和贫血。尽管内镜下息肉切除术是首选治疗方法，但由于病变尺寸巨大，我们决定通过剖腹手术进行手术息肉切除术。对这种良性肿瘤的临床和内镜特征以及治疗选择进行了批判性综述。
