Brunnera's Gland Hyperplasia: Treatment of Severe Diffuse Nodular Hyperplasia Mimicking a Malignancy on Pancreatic-Duodenal Area
Journal of Korean Medical Science
;
: 540-543, 2008.
Article
in English
| WPRIM
| ID: wpr-201059
ABSTRACT
Brunnera's gland hyperplasia is a benign tumor of the duodenum and it is rarely associated with clinical symptoms. We report on a 64-yr-old man with Brunnera's gland hyperplasia who had undergone a duodenocephalo-pancreatectomy. The reason is that he presented upper gastrointestinal obstructive symptoms and the esophagogastroduodenoscopic finding revealed the lesion to be an infiltrating type mass on the second portion of the duodenum with luminal narrowing. An abdominal computed tomography showed a 2.5 cm-sized mass in the duodenal second portion with a suspicious pancreatic invasion and 7 mm-sized lymph node around the duodenum. Duodenocephalopancreatectomy was successfully performed. Histological examination revealed a Brunnera's gland hyperplasia. The final diagnosis was the coexistence of Brunnera's gland hyperplasia and pancreatic heterotopia with a pancreatic head invasion. The literature on Brunnera's gland hyperplasia is reviewed.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pancreatic Diseases
/
Severity of Illness Index
/
Brunner Glands
/
Tomography, X-Ray Computed
/
Choristoma
/
Endoscopy, Gastrointestinal
/
Pancreaticoduodenectomy
/
Diagnosis, Differential
/
Duodenal Neoplasms
/
Duodenum
Type of study:
Diagnostic study
Limits:
Humans
/
Male
Language:
English
Journal:
Journal of Korean Medical Science
Year:
2008
Type:
Article
Similar
MEDLINE
...
LILACS
LIS