Rojas Ortega S, Sánchez Sosa S, San Román G R, Cesin Sánchez R, Arizpe Bravo D
Departamento de Cirugía, Universidad Popular Autónomo del Estado de Puebla.
Rev Invest Clin. 1995 Mar-Apr;47(2):139-42.
A twenty six year old woman was admitted suffering an anemia syndrome, postprandial vomiting and intermittent melena of six months evolution. The hemoglobin was 3.5 g/dL: an endoscopy detected a large tumor in the duodenum with a 90% obstruction of the lumen. A biopsy reported an erosive, acute and chronic duodenitis. Subsequently a surgical exploration with duodenotomy showed a large nodular polyp attached to a stalk that was removed: a hamartomatous polyp of Brunner's glands was reported. It coursed with gastrointestinal bleeding and symptoms of duodenal obstruction, which are two of the most common symptoms of this rare tumor.
一名26岁女性因贫血综合征、餐后呕吐和持续6个月的间歇性黑便入院。血红蛋白为3.5 g/dL：内镜检查发现十二指肠有一个大肿瘤，管腔堵塞90%。活检报告为糜烂性急慢性十二指肠炎症。随后进行手术探查并行十二指肠切开术，发现一个附着在蒂上的大结节状息肉并将其切除：报告为布伦纳腺错构瘤息肉。它伴有胃肠道出血和十二指肠梗阻症状，这是这种罕见肿瘤最常见的两种症状。
