Brunner’s Gland Hamartoma of the Duodenum Presenting with Intussusception: Report of a Case
作者
Chien-Jen Tseng, Jinn-Rung Kuo, Yih-Huei Uen
卷期/出版年月
43卷2期 (2010/4)
頁次
91-94
摘要
Brunner’s gland hamartoma of the duodenum is a rare, benign and usually
asymptomatic lesion that manifests itself only following hemorrhage or obstructive
complications. Approximately 200 cases have been reported in the English literature,
and only 5 have presented with intussusception since the first description by
Cruveilhier in 1835. We hereby report another rare case of a 53-year-old woman
who presented with obstructive gastrointestinal symptoms. Abdominal CT showed
intussusception from the antrum of the stomach to the proximal jejunum. Open
surgical polypectomy through a longitudinal duodenotomy was successfully
performed. Pathological examination of the resected tissue confirmed a giant
Brunner’s gland hamartoma. It is worthwhile to remember that duodenal
intussusception can occur when there is Brunner’s gland hamartoma.