Liang M, Liwen Z, Jianguo S, Juan D, Ting S, Jianping C. A case report of endoscopic resection for the treatment of duodenal Brunner's gland adenoma with upper gastrointestinal bleeding.
Medicine (Baltimore) 2020;
99:e23047. [PMID:
33350721 PMCID:
PMC7769294 DOI:
10.1097/md.0000000000023047]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/18/2020] [Revised: 09/26/2020] [Accepted: 10/06/2020] [Indexed: 01/09/2023] Open
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.
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