Article:
Giant Brunner’s Gland Adenoma Presenting as Upper Gastrointestinal Bleeding in 76 Years Old Male: A Case Report

creativeworkseries.issnJNMA Print ISSN: 0028-2715; Online ISSN: 1815-672X
dc.contributor.authorRana, Ramesh
dc.contributor.authorSapkota, Rikesh
dc.contributor.authorKC, Bishal
dc.contributor.authorHirachan, Anish
dc.contributor.authorLimbu, Bimas
dc.date.accessioned2026-09-01T09:47:17Z
dc.date.available2026-09-01T09:47:17Z
dc.date.issued2019
dc.descriptionRamesh Rana Department of Internal Medicine, Gautam Buddha Community Heart Hospital, Butwal, Nepal Rikesh Sapkota Department of Internal Medicine, Gautam Buddha Community Heart Hospital, Butwal, Nepal Bishal KC Department of Cardiology, Gautam Buddha Community Heart Hospital, Butwal, Nepal Anish Hirachan Department of Cardiology, Gautam Buddha Community Heart Hospital, Butwal, Nepal Bimas Limbu Department of Surgery, Manipal Teaching Hospital, Pokhara, Nepal
dc.description.abstractAbstract Brunner’s gland adenoma is a rare benign tumor of small bowel, often incidentally discovered during endoscopy or radiological imaging. Mostly they are asymptomatic or often present with nonspecific symptoms such as nausea, vomiting, gastrointestinal hemorrhage, iron deficiency anemia. We reported a 76 years old male case presented with chief complaints of vomiting and black tarry stool. General physical examination was normal except mild tenderness over epigastrium. Esophagogastroduodenoscopy revealed a pedunculated polypoid tubular structure with blind end distally of length approximately 10-12* 3.5*1.5 cm in the second section of the duodenum with multiple skipped ulcers on the exposed surface of it. Additionally, there were few erosions in the duodenum proximally and multiple superficial ulcerations in the antrum, associated with helicobacter pylori confirmed by rapid urease test kit. Keywords: Brunner’s gland adenoma; Brunner’s gland hamartoma; Brunner’s gland hyperplasia; case report.
dc.identifierhttps://doi.org/10.31729/jnma.4013
dc.identifier.urihttps://hdl.handle.net/20.500.14572/7541
dc.language.isoen_US
dc.publisherNepal Medical Association
dc.subjectBrunner’s gland adenoma
dc.subjectBrunner’s gland hamartoma
dc.subjectBrunner’s gland hyperplasia
dc.subjectcase report
dc.titleGiant Brunner’s Gland Adenoma Presenting as Upper Gastrointestinal Bleeding in 76 Years Old Male: A Case Report
dc.typeArticle
dspace.entity.typePublication
local.article.typeCase Report
oaire.citation.endPage52
oaire.citation.startPage50
relation.isJournalIssueOfPublication41d08b88-edc2-474e-9e86-ca37f0011acb
relation.isJournalIssueOfPublication.latestForDiscovery41d08b88-edc2-474e-9e86-ca37f0011acb
relation.isJournalOfPublicatione6e146a0-0ece-4aba-aa0a-6ccfbd10a12a

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