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Hamartoma of Brunner's glands causing massive haematemesis
G Kouraklis1, A Kostakis, J Delladetsima
1Second Dept of Propedeutic Surgery, University of Athens, Greece.
Background:
Brunner's gland hamartomas are very uncommon lesions and are usually asymptomatic.
Methods:
A 77-year-old man was urgently operated on for massive upper gastrointestinal bleeding, associated with haematemesis.
Results:
A 3.5 x 3 x 3 cm mass arising from the anterior aspect of the first part of the duodenum was found. Histologic examination showed groups of Brunner-type glands without atypia; these coexisted with heterotopic pancreatic acini and ducts.
Conclusions:
This is a very rare cause of massive upper gastrointestinal bleeding and may easily be confused with bleeding from a peptic ulcer.
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