Yilmaz N
Division of Gastroenterology, Department of Internal Medicine, Sanko University, Faculty of Medicine, Sehitkamil, Gaziantep, Turkey.
Niger J Clin Pract. 2019 Sep;22(9):1298-1300. doi: 10.4103/njcp.njcp_274_18.
Brunner's gland adenoma is usually asymptomatic and sometimes accompanied by nausea, vomiting and swelling. İt is often confused with duodenal malignancy, which may mislead and the physician about its treatment. We want to present a case of a 40-year-old female with a history of weight loss, vomiting and nausea since six months. İnitial imaging studies that revealed a large mass in the duodenum and endoscopic findings that suggested duodenal invagination. Whipple operation had been recommended to the patient by two different general surgery departments. The patient reported to our clinic for gastroenterological evaluation before the operation. At our exmination, a giant polyp, 5 to 6 cm in size, was observed in the second part of the duodenum; it was 9 to 10 cm long and originated from the pylorus. Duodenotomy was performed, and only the giant polyp was removed. Pathological examination revealed hyperplastic Brunner's glands mixed with fibromuscular tissue and mature fat tissue.
布伦纳腺腺瘤通常无症状，有时伴有恶心、呕吐和肿胀。它常与十二指肠恶性肿瘤相混淆，这可能会在治疗方面误导医生。我们想介绍一例40岁女性病例，该患者自六个月以来有体重减轻、呕吐和恶心的病史。最初的影像学研究显示十二指肠有一个大肿块，内镜检查结果提示十二指肠套叠。两个不同的普通外科科室都建议该患者进行惠普尔手术。患者在手术前到我们诊所进行胃肠病学评估。在我们的检查中，在十二指肠第二部观察到一个大小为5至6厘米的巨大息肉；它长9至10厘米，起源于幽门。进行了十二指肠切开术，仅切除了巨大息肉。病理检查显示增生的布伦纳腺与纤维肌肉组织和成熟脂肪组织混合。
