A case report of endoscopic resection for the treatment of duodenal Brunner's gland adenoma with upper gastrointestinal bleeding. Issue 52 (24th December 2020)

• Record Type: Journal Article
• Authors: Liang, Ma; Liwen, Zhang; Jianguo, Song; Juan, Dai; Ting, Shen; Jianping, Chen
• Other Names: Saranathan. Maya section editor.
• Is Part Of: Medicine. Volume 99:Issue 52(2020)
• Publication Date: 2020-12-24
• Subjects: Brunner's gland adenoma -- diagnosis -- gastrointestinal bleeding -- treatment; Medicine -- Periodicals; Medicine -- Periodicals; Médecine -- Périodiques; Geneeskunde; Medicine; Periodicals; Periodicals; 610.5
• DOI: 10.1097/MD.0000000000023047
• Languages: English
• ISSNs: 0025-7974

Abstract

Abstract: Rationale: Gastrointestinal bleeding as the first sign of Brunner's gland adenoma (BGA) is an extremely rare, and its clinical features and treatment methods have not been well described. Patient concerns: We described a 81-year-old female patient with coronary artery disease and chronic atrial fibrillation presenting with presenting with gastrointestinal bleeding requiring blood transfusion. Diagnoses: The diagnosis of our case mainly refered to radiologic imaging and endoscopic examination. Histological result was compatible with BGA. Interventions: This mass lesion (6 × 7 cm diameter) was successfully totally removed by endoscopic submucosal dissection (ESD) for more than three hours. Outcomes: The patient was followed up for 6 months to date without recurrence. Lessons: Endoscopic removal is considered as a safe and low-risk treatment for elderly patients with severe underlying diseases presenting with gastrointestinal bleeding.