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Giant Brunneroma of the duodenum
C Bästlein1, R Decking, C Voeth
1Medical Department, Munich Hospital, FRG.
Endoscopy
|July 1, 1988
Summary
A rare case of giant Brunner's gland hyperplasia, a benign duodenal tumor, was surgically removed due to severe vomiting. This condition, known as Brunneroma, is uncommon, found in only 0.08% of upper GI endoscopies.
Area of Science:
- Gastroenterology
- Surgical Pathology
- Diagnostic Imaging
Background:
- Brunner's glands, located in the duodenal submucosa, secrete alkaline mucus.
- Hyperplasia of these glands can lead to benign tumors called Brunneromas.
- Brunneromas are rare and often asymptomatic, but can cause obstructive symptoms when large.
Observation:
- A case presented with recurrent vomiting, indicative of duodenal stenosis.
- Diagnostic methods included endoscopy, ultrasound, and histological examination.
- A large 5 x 7 cm mass was identified in the duodenum.
Findings:
- The mass was confirmed as giant hyperplasia of Brunner's glands (Brunneroma).
- Surgical excision was performed for the symptomatic tumor.
- Histological examination confirmed the benign nature of the lesion.
Implications:
- Giant Brunneroma can cause significant upper gastrointestinal symptoms like stenosis and vomiting.
- Early and accurate diagnosis through combined endoscopic, imaging, and histological methods is crucial.
- Surgical resection is an effective treatment for symptomatic Brunneromas, with a favorable prognosis due to their benign nature.