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A Large Brunners Gland Hamartoma Caused Gastrointestinal Bleeding: Case Report and Review of Literature
Tugan Tezcaner1*, Yahya Ekici1, Ozgur Harmanci2 and Gokhan Moray3
1Department of General Surgery, Baskent University School of Medicine, Turkey
2Department of Gastroenterology and Hepatology, Baskent University School of Medicine, Turkey
3Department of General Surgery, Baskent University School of Medicine, Turkey
- *Corresponding Author:
- Tugan Tezcaner, MD
Department of General Surgery; Baskent University School of Medicine
5. Sok No: 48 Bahcelievler Ankara, Turkey
Tel: +903122152629
Fax: +9023122234909
E-mail: tugantezcaner@gmail.com
Received date: July 17, 2015 Accepted date: September 01, 2015 Published date: September 10, 2015
Citation: Tezcaner T, Ekici Y, Harmanci O, Moray G (2015) A Large Brunner’s Gland Hamartoma Caused Gastrointestinal Bleeding: Case Report and Review of Literature. J Gastrointest Dig Syst 5:335. doi:10.4172/2161-069X.1000335
Copyright: © 2015 Tezcaner T, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
Background: Brunner’s gland hamartoma is a rare benign tumor of the duodenum. It may present with either various symptoms caused by obstruction or bleeding; or incidental mass with no symptoms. A 54-years old woman admitted to hospital for melena. Esophagogastroduodenoscopy revealed a large pedunculated polyp arising from distal portion of the duodenal bulb; erosions and hematin coatings was found overlying mucosa. Endoscopic removal was not possible due to its measures and thick stalk. The lesion was resected at the base of stalk with normal mucosa via duodenotomy. Histopathologic examination revealed that this tumor was a Brunner’s gland hamartoma, 5 cm in its greatest dimension. We described a case of Brunner’s gland hamartoma caused upper gastrointestinal bleeding four years after the first diagnosis and related literature was reviewed.
