Hong Paul, Ghanim Marcel, Haseeb Abdul, Ding Xianzhong, Abegunde Ayokunle T
Department of Internal Medicine, Loyola University Medical Center, Maywood, IL.
Division of Gastroenterology and Nutrition, Loyola University Medical Center, Maywood, IL.
ACG Case Rep J. 2023 Jun 8;10(6):e01060. doi: 10.14309/crj.0000000000001060. eCollection 2023 Jun.
Malignant neoplasms arising from the Brunner gland are exceedingly rare. A 62-year-old man with a history of surgical resection of Brunner gland adenocarcinoma presented with upper extremity cellulitis. Hospital course was complicated by atrial fibrillation and hematochezia. Bidirectional endoscopy was negative; however, small bowel enteroscopy revealed recurrence of Brunner gland adenocarcinoma 6 years after surgical resection. To our knowledge, this is the first reported case of recurrent Brunner gland adenocarcinoma after curative resection.
起源于布伦纳腺的恶性肿瘤极为罕见。一名有布伦纳腺腺癌手术切除史的62岁男性出现上肢蜂窝织炎。住院期间并发房颤和便血。双向内镜检查结果为阴性;然而,小肠镜检查显示手术切除6年后布伦纳腺腺癌复发。据我们所知,这是首例报道的布伦纳腺腺癌根治性切除术后复发的病例。