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[息肉样错构瘤(布伦纳腺腺瘤)内镜治疗后胃肠道出血]

[Gastrointestinal bleeding after endoscopic treatment of polypoid hamartoma (adenoma of Brunner's glands)].

作者信息

Carneros J A, de la Coba C, Fradejas P, Alvarez A, Martín R, Sánchez F, Rodríguez A, Fuentes A, Geijo F, Rodrigo M

机构信息

Servicio de Aparato Digestivo, Hospital Clínico Universitario, Salamanca, España.

出版信息

Gastroenterol Hepatol. 2003 Nov;26(9):549-51. doi: 10.1016/s0210-5705(03)70411-7.

Abstract

The incidence of polypoidal tumors in the duodenum is scarce and Brunner's gland tumors represent 11% of these proliferations. Brunner's gland polypoid hamartoma or adenoma is a highly infrequent benign polypoid proliferation of Brunner's glands that is usually asymptomatic, although gastrointestinal bleeding or intestinal obstruction may sometimes occur. We present the case of a woman with an incidental diagnosis of duodenal polypoid hamartoma. The lesion was resected with polypectomy loop and at 48 h, the patient presented gastrointestinal bleeding as a complication. We describe the endoscopic treatment of the lesion and this complication.

摘要

十二指肠息肉样肿瘤的发病率很低,其中布伦纳腺肿瘤占这些增生性病变的11%。布伦纳腺息肉样错构瘤或腺瘤是布伦纳腺罕见的良性息肉样增生,通常无症状,尽管有时可能发生胃肠道出血或肠梗阻。我们报告一例偶然诊断为十二指肠息肉样错构瘤的女性病例。该病变通过圈套息肉切除术切除,48小时后,患者出现胃肠道出血这一并发症。我们描述了该病变及其并发症的内镜治疗。

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