Korean J Gastrointest Endosc > Volume 32(4); 2006 > Article
Korean Journal of Gastrointestinal Endoscopy 2006;32(4): 283-286.
낭성 Brunner선 과다형성 1예
맹치훈·장재영·주광로·동석호·김효종·김병호·장영운·이정일·장린·김윤화*
경희대학교 의과대학 내과학교실, *병리학교실
A Case of Multiple Cystic Brunner's Gland Hyperplasia
Chi Hoon Maeng, M.D., Jae Young Jang, M.D., Kwang Ro Joo, M.D., Seok Ho Dong, M.D., Hyo Jong Kim, M.D., Byoung-Ho Kim, M.D., Young-Woon Chang, M.D., Joung Il Lee, M.D., Rin Chang, M.D. and Youn Wha Kim, M.D.*
Departments of Internal Medicine and *Pathology, Kyunghee University College of Medicine, Seoul, Korea
Abstract
Hyperplasia of Brunner's glands is considered an uncommon finding; its wide range of morphological variation has led to confusing identifying terminology which includes: hyperplasia, adenoma, and hamartoma. Some investigators have suggested that hyperplasia of Brunner's glands is hamartomatous in nature, whereas others have favored a causative relationship that results from gastric acid hypersecretion. Although most commonly an incidental finding, that appears as multiple small submucosal sessile nodules, usually located in the duodenal bulb, it can lead to clinically significant symptoms including gastrointestinal bleeding, abdominal pain, and intestinal obstruction. Here, we report a case of hyperplasia of multiple cystic Brunner's glands on the duodenal bulb in a patient with acute pancreatitis; they were discovered incidentally on abdominal CT and duodenoscopy. This is the first report of hyperplasia of Brunner's glands with these morphological characteristics. (Korean J Gastrointest Endosc 2006;32:283⁣286)
Key Words: Brunner's glands, Hyperplasia, Multiple, Cystic
주요어: Brunner선, 과다형성, 다발성, 낭성
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