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Duodenojejunal intussusception secondary to hamartomatous polyp of Brunner's glands
1Department of Surgery, Chang Gung Memorial Hospital, Kaohsiung, Taiwan, Republic of China.
Insights
This case report details a rare duodenojejunal intussusception in a teenager, caused by a Brunner gland hamartoma. Manual reduction and polyp excision were successful, highlighting a unique pediatric intussusception presentation.
Area of Science:
- Gastroenterology
- Pediatric Surgery
- Pathology
Background:
- Intussusception is common in children, typically ileocolic.
- Duodenojejunal intussusception is rare, especially in adolescents.
- Brunner's gland hamartomas are benign tumors that can cause gastrointestinal issues.
Abstract:
A case of duodenojejunal intussusception secondary to a large hamartomatous polyp of Brunner's glands was reported in a 15-year-old girl. Despite a great preponderance of ileocolic intussusception in childhood, this is the first reported case of duodenojejunal intussusception occurring in that age group. The diagnosis was not made by clinical examination; complete duodenal obstruction was shown in upper gastrointestinal series and by endoscopy. The intussusception was reduced manually at laparotomy, and the polyp was excised. Pathological examination revealed a preponderance of normal-appearing Brunner's glands in the tumor, consistent with the diagnosis of Brunner's gland hamartoma.