Korean Journal of Gastrointestinal Endoscopy 1997;17(5): 691-695.
증례 : 위장관 ; 장중첩증과 심한 빈혈을 일으킨 Brunner 선 과오종 1예 ( Case Reports : Stomach & Intestine ; A Case of Brunner's Gland Hamartoma with Severe Anemia and Intussusception )
황진혁, 김진, 문선희, 김유선, 우광훈, 정준오, 김용태, 정현채, 송인성, 최규완, 김정룡, 김선희 (Jin Hyok Hwang, Jin Kim, Sun Hi Moon, You Sun Kim, Gwang Hoon Woo, Jun Oh Jung, Yong Tae Kim, Hyun Chae Jung, In Sung Song, Kyoo Wan Choi, Chung Yong Kim and Sun Whe Kim)
Abstract
Brunner's gland hamartomas are rare duodenal tumors with characteristic pathologic featmes. The usual clinical presentation is nonspecific symptoms, obstructive symptoms, or intestinal bleeding. The majority of these tumors are less than 3 cm in diameter. In cases of larger size, the manifestations are usually intestinal obstruction or intestinal bleeding. The cases with massive gastrointestinal bleeding and severe anemia, requiring transfusion are rare. The diagnosis is made by radiologic studies and gastroduodenoscopy. The treatment of Brunner's gland hamartomas should be conservative, since they are not premalignant, However, the lesions originate in the submucosa, so the confimative diagnosis usually cannot be made by endoscopie biopey. For definitive diagnosis and relief of symptoms, the lesions must be removed surgically or endoscopically. Endoscopic excision is indicated if the tumar is pedunculated. We recently experienced a case of Brunner's gland hamartoma of about 5.5 cm in diameter with intestinal bleeding, requiring transfusion and intussusception. Preoperative diagnosis was submucosal tumor, such as lymphoma, with duodeno-duodenal intussusception. After surgical removal, the resected specimen showed the histologic features of Bruaner's gland hamartoma. (Korean J Gastrointest Endosc 17: 691-695, 1997)
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