Brunner Gland Adenoma Masquerading as Duodenal Gastrointestinal Stromal Tumor With Intussusception: Case Report

Desai, Gunjan; Yadav, Kamini; Pande, Prasad; Sali, Priyanka Akhilesh; Tampi, Chandralekha; Wagle, Prasad

doi:10.1590/0102-6720201700010020

Cited by 2 publications

(1 citation statement)

References 13 publications

(17 reference statements)

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“…An unknown topic is the elucidation of the mechanism of duodenal intussusception. It is widely recognized that malrotational abnormalities and duodenal space occupation are the main causes of duodenal intussusception in adults[ 1 , 2 , 7 ]. There are also rare cases of duodenal ulcers as the main finding, resulting in duodenal intussusception[ 5 ].…”

Section: Discussionmentioning

confidence: 99%

Adult duodenal intussusception with horizontal adenoma: A rare case report

Wang¹,

Jiang²,

Kong³

et al. 2020

WJCC

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BACKGROUND Adult duodenal intussusception rarely occurs, and the majority of duodenal adenomas are located in the descending part of the duodenum. Therefore, adenomas in the horizontal part of the duodenum presenting as duodenal intussusception in adults are extremely rare. CASE SUMMARY A 36-year-old man complained of abdominal pain for 13 d. Blood analysis showed anemia. Magnetic resonance cholangiopancreatography and computed tomography revealed a tumor in the horizontal part of the duodenum as the main finding, leading to duodeno-duodenal intussusception. No obvious abnormalities were found on endoscopy or upper gastrointestinal radiography. He was diagnosed with duodenal intussusception secondary to duodenal adenoma. Laparotomy showed duodeno-duodenal intussusception and a tumor in the horizontal part of the duodenum near the ascending part. Postoperative pathology revealed tubular-villous adenoma with low-grade glandular intraepithelial neoplasia (local high-grade intraepithelial neoplasia). He was discharged without complications. CONCLUSION This case highlights that rational use of computed tomography, magnetic resonance cholangiopancreatography, endoscopy and upper gastrointestinal radiography for preoperative diagnosis and timely surgery is an effective strategy for the treatment of adult duodenal intussusception with duodenal masses.

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Section: Discussionmentioning

confidence: 99%

Adult duodenal intussusception with horizontal adenoma: A rare case report

Wang¹,

Jiang²,

Kong³

et al. 2020

WJCC

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A giant Brunner’s gland hamartoma being treated as a pedunculated polyp: a case report

Cheng

Qiu

et al. 2019

BMC Gastroenterol

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Background With the development and application of endoscopic technology, most pedunculated polyps can be absolutely resected with a complete specimen by hot snare polypectomy (HSP). Brunner’s gland hamartoma (BGH) is a rare benign small bowel tumor. The majority of BGH measuring about 2 cm in diameter, rarely larger than 5 cm. Most patients are asymptomatic, some may present with gastrointestinal hemorrhage or intestinal obstruction. Symptomatic larger lesions leading to bleeding or obstruction should be excised either endoscopically or surgically. Whether it is safe and effective that removing a BGH measuring about 7 cm by HSP is not known. Case presentation Here, we reported a rare case of a proximal duodenum pedunculated mass measuring about 7 cm which was responsible for the patient’s severe anemia. we treated it as a pedunculated polyp. After being pretreated the stalk with an endoloop which was placed around the base of the mass to prevent post-polypectomy bleeding (PPB), the pedunculated BGH was removed by HSP completely. The stalk of the mass was negative. We achieved a curative resection. Conclusion It is a safe and effective for our patient to treat the pedunculated BGH measuring about 7 cm as a pedunculated polyp and remove it by HSP. And future prospective studies in larger cohorts are needed to confirm it.

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Brunner Gland Adenoma Masquerading as Duodenal Gastrointestinal Stromal Tumor With Intussusception: Case Report

Cited by 2 publications

References 13 publications

Adult duodenal intussusception with horizontal adenoma: A rare case report

Adult duodenal intussusception with horizontal adenoma: A rare case report

A giant Brunner’s gland hamartoma being treated as a pedunculated polyp: a case report

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