Upper gastrintestinal bleeding due to Brunner's gland hamartoma: case report and literature review<br><b>[Abstract in English]</b>

Authors

  • Rodrigo Mayer Lul
  • Marcelo Campos Appel da Silva Hospital Nossa Senhora da Conceição, Porto Alegre, RS
  • Rafael Bergesch D'Incao
  • Viviane Plasse Renon
  • Eduardo Cambruzzi
  • Cristiane Valle Tovo
  • Nutianne Camargo Schneider

DOI:

https://doi.org/10.15448/1980-6108.2013.1.11987

Keywords:

BRUNNER GLANDS, HAMARTOMA, GASTROINTESTINAL HEMORRHAGE, DUODENAL DISEASES.

Abstract

AIMS: To present the case report of a patient with Brunner's gland hamartoma identified after investigation for hematemesis and melena. CASE DESCRIPTION: A 52 years old male patient presented with hematemesis and melena, being hospitalized and evolving with hemodynamic instability and cardiac arrest. After clinical stability in the intensive care unit, an upper gastrointestinal endoscopy was performed, and a 3 cm duodenal polypoid lesion with active bleeding was identified. The lesion was removed and the histopathological examination revealed a Brunner's gland hamartoma. CONCLUSIONS: Despite hamartoma of Brunner's glands being a benign and rare disease, with indolent growth and often asymptomatic, it can cause a severe clinical picture as described in this report, and therefore it should always be considered as a differential diagnosis in cases of upper gastrointestinal bleeding.

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Author Biographies

Rodrigo Mayer Lul

Médico Gastroenterologista, Hospital Mãe de Deus, Porto Alegre, RS

Marcelo Campos Appel da Silva, Hospital Nossa Senhora da Conceição, Porto Alegre, RS

S

Rafael Bergesch D'Incao

Médico Residente do Serviço de Gastroenterologia, Hospital Nossa Senhora da Conceição, Porto Alegre, RS

Viviane Plasse Renon

Médica Gastroenterologista, Hospital Mãe de Deus, Porto Alegre, RS

Eduardo Cambruzzi

Médico Patologista do Hospital Nossa Senhora da Conceição, Porto Alegre, RS

Cristiane Valle Tovo

Doutora em Hepatologia. Médica Gastroenterologista, Hospital Nossa Senhora da Conceição, Porto Alegre, RS

Nutianne Camargo Schneider

Médica Gastroenterologista e Especialista em Endoscopia pela Sociedade Brasileira de Endoscopia, Hospital Mãe de Deus, Porto Alegre, RS

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Published

2013-03-30

How to Cite

Lul, R. M., Appel da Silva, M. C., D’Incao, R. B., Renon, V. P., Cambruzzi, E., Tovo, C. V., & Schneider, N. C. (2013). Upper gastrintestinal bleeding due to Brunner’s gland hamartoma: case report and literature review<br><b>[Abstract in English]</b>. Scientia Medica, 23(1), 52–55. https://doi.org/10.15448/1980-6108.2013.1.11987

Issue

Vol. 23 No. 1 (2013)

Section

Case Reports

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