A Rare Case of Brunneroma Presenting as Gastric Perforation with Review of Literature
Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 7
Abstract
INTRODUCTION: Brunner`s gland adenomas are rare benign tumors usually located in the bulb of the duodenum. Very rarely, heterotopic Brunner`s gland tissue tumors have also been reported at remote locations from the duodenum, eg. pylorus, pancreas and jejunum. CASE: We report a case of Brunneroma in a patient presenting with a prepyloric perforation with no mass lesion seen on surgery. The diagnosis was established on histopathological examination of the perforation margins. DISCUSSION: Brunneromas are usually asymptomatic. If symptomatic, they commonly present with features of obstruction or GI bleeding. Grossly, they are usually seen as 1-2 cm pedunculated polyps; however, cases of giant Brunneromas have also been reported. To our knowledge, this is the first reported case of a Brunneroma presenting with a perforation located in the prepyloric region, and with no mass lesion identified on surgery.
Authors and Affiliations
Divya Rabindranath
Keywords
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