Year 2023 / Volume 115 / Number 11
Letter
Intestinal obstruction secondary to Brunner’s glands hyperplasia

661-662

DOI: 10.17235/reed.2023.9538/2023

Daniel Aparicio-López, Javier Cuadal Marzo, Leticia Ollero Domenche, Emilio Ignacio Abecia Martínez, Carlos Hörndler Argárate, Sonia Cantín Blázquez, Rafael Cerdán Pascual, Luis Antonio Ligorred Padilla,

Abstract
Brunner's gland hyperplasia constitutes 10.6% of benign tumors of the duodenum, with an incidence of 0.008%. It is usually an incidental finding during endoscopy or imaging tests as they are small and asymptomatic. In the case of symptomatic tumors, resection of the lesion is indicated. In lesions ≤2 cm, endoscopic resection can be chosen, reserving surgery for larger lesions or endoscopically inaccessible ones. We present the case of a patient with a history of vomiting and hyporexia of months of evolution who presented peptic ulcer perforation and underwent surgery. During follow-up, she presented intestinal obstruction due to pyloric stenosis. Given the impossibility of ruling out a neoplastic process with certainty in diagnostic tests, surgical resection (antrectomy) was decided with an anatomopathological finding of Brunner's gland hyperplasia.
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References
1. Guo T, Tan Y, Liu D. A rare mass in the duodenal bulb: Brunner’s glands cystadenoma. Rev Esp Enferm Dig. 2018;110.
2. B. Dhouha, L. Ahlem, B.S. Sana, B. Saadia, M.R. Sabeh. Unexpected cause for duodenal obstruction: Brunner’s gland hyperplasia. Pathologica. 2017;109:414–7.
3. Bakheet N, Cordie A, Nabil Alkady M, Naguib I. Brunner’s gland adenoma is a rare cause of upper gastrointestinal bleeding: A case report and literature review. Arab J Gastroenterol. 2020;21(2):122–4.
4. Bhatti S, Alghamdi M, Omer E. Brunner’s gland hyperplasia: A massive duodenal lesion. Cureus. 2020;12(4):e7542.
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Citation tools
Aparicio-López D, Cuadal Marzo J, Ollero Domenche L, Abecia Martínez E, Hörndler Argárate C, Cantín Blázquez S, et all. Intestinal obstruction secondary to Brunner’s glands hyperplasia. 9538/2023


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Publication history

Received: 17/02/2023

Accepted: 24/02/2023

Online First: 10/03/2023

Published: 13/11/2023

Article Online First time: 21 days

Article editing time: 269 days


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