Giant Brunner's Gland Hamartoma as a Cause of Iron Deficiency Anemia

Khosla, Manraj; Khosravi, Farhoud; Cashman, James; Das, Ananya

doi:10.14309/crj.2017.37

Cited by 3 publications

(5 citation statements)

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“…Recent studies reported melena as the presenting complaints as in our case although he had chronic episodic abdominal discomfort for 2 years. 8 , 9 Those who presented with melena had larger size with maximum size reported up to 12cm, 5 in our case also length was approximately 10-12 cm which is longer as previously reported. 9 Additionally, age of the patient was older (76 years) than previously reported of 73 years old.…”

Section: Discussionsupporting

confidence: 77%

Section: Discussionsupporting

confidence: 77%

“…8,9 Those who presented with melena had larger size with maximum size reported up to 12cm, 5 in our case also length was approximately 10-12 cm which is longer as previously reported. 9 Additionally, age of the patient was older (76 years) than previously reported of 73 years old. 1 Brunner's gland adenoma commonly presented as hyperplastic or hamartomatous mucosal changes are always benign; however, rarely foci of metaplasia to malignant foci have been reported.…”

Section: Discussionsupporting

confidence: 69%

See 2 more Smart Citations

Giant Brunner’s Gland Adenoma Presenting as Upper Gastrointestinal Bleeding in 76 Years Old Male: A Case Report

Rana¹,

Sapkota²,

Kc³

et al. 2019

J Nepal Med Assoc

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Brunner’s gland adenoma is a rare benign tumor of small bowel, often incidentally discovered during endoscopy or radiological imaging. Mostly they are asymptomatic or often present with nonspecific symptoms such as nausea, vomiting, gastrointestinal hemorrhage, iron deficiency anemia. We reported a 76 years old male case presented with chief complaints of vomiting and black tarry stool. General physical examination was normal except mild tenderness over epigastrium. Esophagogastroduodenoscopy revealed a pedunculated polypoid tubular structure with blind end distally of length approximately 10-12* 3.5*1.5 cm in the second section of the duodenum with multiple skipped ulcers on the exposed surface of it. Additionally, there were few erosions in the duodenum proximally and multiple superficial ulcerations in the antrum, associated with helicobacter pylori confirmed by rapid urease test kit. Keywords: Brunner’s gland adenoma; Brunner’s gland hamartoma; Brunner’s gland hyperplasia; case report.

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Section: Discussionsupporting

confidence: 77%

Section: Discussionsupporting

confidence: 77%

Section: Discussionsupporting

confidence: 69%

See 1 more Smart Citation

Giant Brunner’s Gland Adenoma Presenting as Upper Gastrointestinal Bleeding in 76 Years Old Male: A Case Report

Rana¹,

Sapkota²,

Kc³

et al. 2019

J Nepal Med Assoc

View full text Add to dashboard Cite

show abstract

“…Symptomatic presentations include anemia, gastrointestinal bleeding, duodenal/ampullary obstruction and intussusception [10]. Literature search shows reports of Brunner's hyperplasia ranging in size from 0.7 to 12 cm (mean 4 cm), but there are few reported that are larger than 5 cm, including one measuring 12 cm [1,[3][4][5][6][7]. Although largely benign, Brunner's gland hyperplasia has risk for malignant transformation [11].…”

Section: Discussionmentioning

confidence: 99%

“…Brunner's gland hyperplasia has an equivalent gender distribution and typically presents in the fifth or sixth decade of life [1]. Literature search shows reports of Brunner's gland hyperplasia ranging in size from 0.7 to 12 cm (mean 4 cm), but there are few reported that are larger than 5 cm [1,[3][4][5][6][7]. Brunner's gland hyperplasia is usually an incidental finding during endoscopy or imaging studies, and endoscopy is the mainstay of management [8].…”

Section: Introductionmentioning

confidence: 99%