A CASE OF DUODENAL BRUNNER'S ADENOMA TREATED BY ENDOSCOPIC SUBMUCOSAL DISSECTION

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  • 十二指腸ブルンネル腺腺腫の1例

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Abstract

A 55-year-old man was admitted for the treatment of a 15mm Brunner's adenoma which was located on the superior duodenal angulus. During endoscopic submucosal dissection (ESD), a pinhole perforation occurred incidentally. After clipping the perforated hole, ESD was continued and the tumor was cut en bloc. No surgical operation was needed after clipping for the perforation. This tumor consisted of atypical glands which showed expansive proliferation in the submucosal layer. Therefore, we diagnosed the tumor as a true-type Bru nner's adenoma. A true-type Brunner's adenoma is an extremely rare tumor ; Only four cases including ours have been reported in Japan.

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