| 위 유문륜에서 기시하여 심한 빈혈과 장중첩증을 동반한 거대 브루너선 선종 1예 |
| 조정환·장진석*·장채령*·이성욱*·노명환*·한상영*·최석렬*·조진한†·홍숙희‡ |
| 수영한서병원 내과, 동아대학교 의과대학 *내과학교실, †영상의학과학교실, ‡병리학교실 |
| A Case of Giant Brunner's Gland Adenoma Originating from the Gastric Pylorus Associated with Severe Anemia and Intussusception |
| Jeong Hwan Cho, M.D., Jin Seok Jang, M.D.*, Chae Ryeong Jang, M.D.*, Seung Uk Lee, M.D.*, Myung Hwan Roh, M.D.*, Sang Young Han, M.D.*, Seok Reyol Choi, M.D.*, Jin Han Cho, M.D.† and Sook Hee Hong, M.D.‡ |
| Department of Internal Medicine, Suyeong-Hanseo Hospital, Departments of *Internal Medicine, †Diagnostic Radiology and ‡Pathology, Dong-A University College of Medicine, Busan, Korea |
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| Abstract |
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Brunner's gland adenoma is characterized by benign proliferation of the normal Brunner's gland, and is a relatively rare disease that accounts for only 10% of benign duodenal tumors. It is usually found in the bulb and second portion of the duodenum, but is rarely found in the pylorus. The clinical manifestations vary from non-specific upper abdominal symptoms to obstruction, intussusception and gastrointestinal hemorrhage. It is a benign lesion but rarely undergoes malignant transformation. Management of Brunner's gland adenoma involves complete removal of the lesion. We experienced a 43-year-old man who had complained of melena and dyspnea on exertion. An esophagogastroduodenoscopy and computed tomography of the upper gastrointestinal tract demonstrated the presence of a 5.5⁓4.0 cm sized hyperemic and lobulated large mass with hemorrhage that originated from the pylorus and was intussuscepted into the duodenum. Resection of the tumor revealed that it was a Brunner's gland adenoma on a histological examination. |
| Key Words:
Giant Brunner's gland adenoma, Pylorus, Hemorrhage, Intussusception |
| 주요어:
거대 브루너선 선종, 유문륜, 출혈, 장중첩증 |
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