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Published in: World Journal of Surgical Oncology 1/2009

Open Access 01-12-2009 | Case report

Surgical management of giant Brunner's gland hamartoma: case report and literature review

Authors: Zoe A Stewart, Ralph H Hruban, Elliot F Fishman, Christopher L Wolfgang

Published in: World Journal of Surgical Oncology | Issue 1/2009

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Abstract

Brunner's gland hamartomas (BGH) are uncommon benign tumors of the duodenum forming mature Brunner's glands. We report here an unusual case of a giant BGH that was not amenable to endoscopic or surgical local resection thus requiring a pancreaticoduodenectomy for extirpation. The relevant literature is discussed.
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Literature
1.
go back to reference Rocco A, Borriello P, Compare D, De Colibus P, Pica L, Iacono A, Nardone G: Large Brunner's gland adenoma: Case report and literature review. World J Gastroenterol. 2006, 12: 1966-1968.PubMedCentralPubMed Rocco A, Borriello P, Compare D, De Colibus P, Pica L, Iacono A, Nardone G: Large Brunner's gland adenoma: Case report and literature review. World J Gastroenterol. 2006, 12: 1966-1968.PubMedCentralPubMed
2.
go back to reference Peng S, Yiping M, Xiujun C, Peng C: Binding pancreaticojejunostomy is a new technique to minimize leakage. Am J Surg. 2002, 183: 283-285. 10.1016/S0002-9610(02)00792-4.CrossRefPubMed Peng S, Yiping M, Xiujun C, Peng C: Binding pancreaticojejunostomy is a new technique to minimize leakage. Am J Surg. 2002, 183: 283-285. 10.1016/S0002-9610(02)00792-4.CrossRefPubMed
3.
go back to reference Winter JM, Cameron JL, Campbell KA, Chang DC, Riall TS, Schulick RD, Choti MA, Coleman J, Hodgin MB, Sauter PK, Sonnenday CJ, Wolfgang CL, Marohn MR, Yeo CJ: Does pancreatic duct stenting decrease the rate of pancreatic fistula following a pancreaticoduodenectomy? Results of a prospective randomized trial. J Gastrointes Surg. 2006, 10: 1280-1290. 10.1016/j.gassur.2006.07.020.CrossRef Winter JM, Cameron JL, Campbell KA, Chang DC, Riall TS, Schulick RD, Choti MA, Coleman J, Hodgin MB, Sauter PK, Sonnenday CJ, Wolfgang CL, Marohn MR, Yeo CJ: Does pancreatic duct stenting decrease the rate of pancreatic fistula following a pancreaticoduodenectomy? Results of a prospective randomized trial. J Gastrointes Surg. 2006, 10: 1280-1290. 10.1016/j.gassur.2006.07.020.CrossRef
4.
go back to reference Levine JA, Burgart LJ, Batts KP, Wang KK: Brunner's gland hamartomas: clinical presentation and pathological features of 27 cases. Am J Gastroenterol. 1995, 90: 290-294.PubMed Levine JA, Burgart LJ, Batts KP, Wang KK: Brunner's gland hamartomas: clinical presentation and pathological features of 27 cases. Am J Gastroenterol. 1995, 90: 290-294.PubMed
5.
go back to reference Jansen JM, Stuifbergen WN, Van Milligen AW: Endoscopic resection of a large Brunner's gland adenoma. Neth J Med. 2002, 60: 253-255.PubMed Jansen JM, Stuifbergen WN, Van Milligen AW: Endoscopic resection of a large Brunner's gland adenoma. Neth J Med. 2002, 60: 253-255.PubMed
6.
go back to reference Zangara J, Kushner H, Drachenberg C, Daly B, Flowers J, Fantry G: Iron deficiency anemia due to a Brunner's gland hamartoma. J Clin Gastroenterol. 1998, 27: 353-6. 10.1097/00004836-199812000-00017.CrossRefPubMed Zangara J, Kushner H, Drachenberg C, Daly B, Flowers J, Fantry G: Iron deficiency anemia due to a Brunner's gland hamartoma. J Clin Gastroenterol. 1998, 27: 353-6. 10.1097/00004836-199812000-00017.CrossRefPubMed
7.
go back to reference Stermer E, Elias N, Keren D, Rainis T, Goldstein O, Lavy A: Acute pancreatitis and upper gastrointestinal bleeding as presenting symptoms of a duodenal Brunner's gland hamartoma. Can J Gastroenterol. 2006, 20: 541-2.PubMedCentralPubMed Stermer E, Elias N, Keren D, Rainis T, Goldstein O, Lavy A: Acute pancreatitis and upper gastrointestinal bleeding as presenting symptoms of a duodenal Brunner's gland hamartoma. Can J Gastroenterol. 2006, 20: 541-2.PubMedCentralPubMed
8.
go back to reference Kurella R, Ancha H, Hussain S, Lightfoot S, Harty R: Evolution of Brunner Gland Hamartoma Associated with Helicobacter pylori Infection. Southern Medical Association. 2008, 101: 648-50.CrossRef Kurella R, Ancha H, Hussain S, Lightfoot S, Harty R: Evolution of Brunner Gland Hamartoma Associated with Helicobacter pylori Infection. Southern Medical Association. 2008, 101: 648-50.CrossRef
9.
go back to reference Patel ND, Levy AD, Mehrotra AK, Sobin LH: Brunner's gland hyperplasia and hamartoma: Imaging features and clinicopathologic correlation. Am J Rad. 2006, 187: 715-722. Patel ND, Levy AD, Mehrotra AK, Sobin LH: Brunner's gland hyperplasia and hamartoma: Imaging features and clinicopathologic correlation. Am J Rad. 2006, 187: 715-722.
10.
go back to reference Hizawa K, Iwai K, Esaki M, Suekane H, Inuzuka S, Matsumoto T, Yao T, Iida M: Endosonographic features of Brunner's gland hamartomas which were subsequently resected endoscopically. Endoscopy. 2002, 34: 956-958. 10.1055/s-2002-35849.CrossRefPubMed Hizawa K, Iwai K, Esaki M, Suekane H, Inuzuka S, Matsumoto T, Yao T, Iida M: Endosonographic features of Brunner's gland hamartomas which were subsequently resected endoscopically. Endoscopy. 2002, 34: 956-958. 10.1055/s-2002-35849.CrossRefPubMed
11.
go back to reference Brookes MJ, Manjunatha S, Allen CA, Cox M: Malignant potential in a Brunner's gland hamartoma. Postgrad Med J. 2003, 79: 416-417. 10.1136/pmj.79.933.416.PubMedCentralCrossRefPubMed Brookes MJ, Manjunatha S, Allen CA, Cox M: Malignant potential in a Brunner's gland hamartoma. Postgrad Med J. 2003, 79: 416-417. 10.1136/pmj.79.933.416.PubMedCentralCrossRefPubMed
12.
go back to reference Janes SE, Zaitoun AM, Catton JA, Aithal GP, Beckingham IJ: Brunner's gland hyperplasia at the ampulla of Vater. J Postgrad Med. 2006, 52: 38-40.PubMed Janes SE, Zaitoun AM, Catton JA, Aithal GP, Beckingham IJ: Brunner's gland hyperplasia at the ampulla of Vater. J Postgrad Med. 2006, 52: 38-40.PubMed
13.
go back to reference Lee W, Yang H, Lee Y, Jung S, Choi G, Go H, Kim A, Cha S: Runner's Gland Hyperplasia: Treatment of Severe Diffuse Nodular Hyperplasia Mimicking a Malignancy on Pancreatic-Duodenal Area. J Korean Med Sci. 2008, 23: 540-3. 10.3346/jkms.2008.23.3.540.PubMedCentralCrossRefPubMed Lee W, Yang H, Lee Y, Jung S, Choi G, Go H, Kim A, Cha S: Runner's Gland Hyperplasia: Treatment of Severe Diffuse Nodular Hyperplasia Mimicking a Malignancy on Pancreatic-Duodenal Area. J Korean Med Sci. 2008, 23: 540-3. 10.3346/jkms.2008.23.3.540.PubMedCentralCrossRefPubMed
14.
go back to reference Iusco D, Roncoroni L, Violi V, Donadei E, Sarli L: Brunner's gland hamartoma: 'over treatment' of a voluminous mass simulating a malignancy of the pancreatic-duodenal area. JOP. 2005, 6: 348-53.PubMed Iusco D, Roncoroni L, Violi V, Donadei E, Sarli L: Brunner's gland hamartoma: 'over treatment' of a voluminous mass simulating a malignancy of the pancreatic-duodenal area. JOP. 2005, 6: 348-53.PubMed
Metadata
Title
Surgical management of giant Brunner's gland hamartoma: case report and literature review
Authors
Zoe A Stewart
Ralph H Hruban
Elliot F Fishman
Christopher L Wolfgang
Publication date
01-12-2009
Publisher
BioMed Central
Published in
World Journal of Surgical Oncology / Issue 1/2009
Electronic ISSN: 1477-7819
DOI
https://doi.org/10.1186/1477-7819-7-68

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