Case report of Brunner’s gland hyperplasia: A rare 'mimic' of malignant pathology
| Autor: | Sujith Krishnamoorthy, Pande Gk, Ashraf Tokhi, Jonathan McCafferty |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Malignancy digestive system Brunner gland 03 medical and health sciences Duodenectomy 0302 clinical medicine Laparotomy Case report Duodenal neoplasm Medicine Duodenal Neoplasm Hyperplasia medicine.diagnostic_test business.industry medicine.disease Endoscopy medicine.anatomical_structure 030220 oncology & carcinogenesis Duodenum Vomiting 030211 gastroenterology & hepatology Surgery Radiology medicine.symptom business |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | Highlights • BGH is a rare, benign condition to consider in a patient with epigastric pain, dyspepsia, weight loss and upper gastrointestinal bleeding. • The diagnosis involves multiple modalities including CT, MRI, endoscopic ultrasound and biopsies. • It is important to determine the correct diagnosis to reduce the risk of overtreating a benign condition. Introduction Brunner’s gland hyperplasia is a rare, benign lesion of the duodenum. The symptomology can range from asymptomatic (as an incidental finding on endoscopy) to gastrointestinal obstruction or haemorrhage. Case presentation We report a case of a 60-year-old man presenting with post-prandial vomiting and weight loss. Inpatient evaluation led to the likely diagnosis of a duodenal malignancy for which the patient underwent a laparotomy and proximal duodenectomy. Clinical discussion Brunner’s gland hyperplasia is a rare, benign condition that can be overtreated due to the difficulty in obtaining an accurate pre-operative diagnosis. The literature has been reviewed to discuss the approach to diagnosis. Conclusion This case highlights the potential for Brunner’s gland hyperplasia mimicking a malignancy. |
| Databáze: | OpenAIRE |
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