Judd Stephanie, Patel Suhag, Levi Edi, Antaki Fadi
John D Dingell VA Medical Center, Detroit, Michigan, USA.
Department of Gastroenterology, Detroit Medical Center, Detroit, Michigan, USA.
BMJ Case Rep. 2017 Mar 8;2017:bcr2016218628. doi: 10.1136/bcr-2016-218628.
A man aged 65 years presented with symptomatic anaemia without overt gastrointestinal bleeding. An oesophagogastroduodenoscopy (EGD) was performed and he was found to have a large ulcerated pedunculated Brunner's gland hamartoma in the duodenal bulb. The polyp was resected using snare cautery in forward and retroflexed positions. Colonoscopy was also performed and a few diminutive polyps were resected. A year later, the patient returned for a surveillance EGD, and no residual polyp was noted. Haemoglobin and iron studies normalised within a few months after polypectomy, with resolution of symptoms.
一名65岁男性因出现症状性贫血就诊，无明显胃肠道出血。进行了食管胃十二指肠镜检查（EGD），发现其十二指肠球部有一个巨大的带蒂溃疡型布伦纳腺错构瘤。使用圈套电灼术在直视和反转位置切除了息肉。还进行了结肠镜检查，切除了一些小息肉。一年后，患者因EGD复查复诊，未发现残留息肉。息肉切除术后几个月内血红蛋白和铁指标恢复正常，症状也得到缓解。
