Korean Journal of Gastrointestinal Endoscopy 2009;39(1): 38-41.
유문부의 Ball-valve 폐쇄를 보인 거대 브루너 선종의 Endoclip과 IT-knife를 이용한 절제술 1예
최도원ㆍ황진기ㆍ박종재ㆍ윤재원ㆍ권민정ㆍ노혜진ㆍ김재선ㆍ박영태
고려대학교 의과대학 구로병원 내과학교실
A Case of Brunner's Gland Adenoma Causing a Ball-valve Obstruction: Endoscopic Treatment with a Simple Method of Endoclip-assisted Direct Resection with Using an IT-knife
Do Won Choi, M.D., Jin Ki Hwang, M.D., Jong Jae Park, M.D., Jae-Won Yun, M.D., Min-Jung Kwon, M.D., Hyejin Noh, M.D., Jae Seon Kim, M.D. and Young-Tae Bak, M.D.
Department of Gastroenterology, Korea University Medical Center Guro Hospital, Seoul, Korea
Abstract
Brunner's gland adenoma is a rare benign tumor that is usually asymptomatic and it the result of a benign proliferation of the Brunner's glands of the duodenum. In symptomatic patients, the common clinical presentation is gastrointestinal bleeding and obstructive symptoms. A 48-year-old man presented with abdominal discomfort and vomiting. The endoscopic examination revealed a large pedunculated polypoid mass arising in the bulb and it was prolapsing through the pylorus into the antrum, and this all resulted in a ball-valve obstruction. After endoclips were applied at the peduncle of the mass, this polyp was simply and successfully cut with using an IT-knife without bleeding or perforation. We report here on a case of Brunner's gland adenoma that caused a ball-valve obstruction, and the tumor was removed by a simple and easy method with using endoclips and an IT-knife. (Korean J Gastrointest Endosc 2009;39:38-41)
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