Brunner’s Gland Adenoma: An Unusual Cause of Recurrent Upper GIT Bleeding in Cirrhotic Patient: A Case Report

Mohamed Adel ElBasiony^1,2, Ramy Hassan Agwa^1,3*, Ahmed Abdelaziz⁴, Reham Soliman^2,5 & Gamal Shiha^1,2

¹Hepatology and Gastroenterology Unit, Department of Internal Medicine, Faculty of Medicine, Mansoura University, Egypt
²Egyptian Liver Research Institute and Hospital (ELRIAH), Sherbin, El-Mansoura, Egypt
³Department of Internal Medicine, Albaha University, Kingdom of Saudi Arabia
⁴Department of Gastroenterology and Hepatology , Alazhar University Damietta, Egypt
⁵Department of Tropical Medicine, Faculty of Medicine, Port Said University, Port Said, Egypt

Dr. Ramy Hassan Agwa, Hepatology and Gastroenterology Unit, Department of Internal Medicine, Faculty of Medicine, Mansoura University, Egypt.

Keywords: Brunner’s Gland; GI Bleeding; Endoloop Polypectomy

Abstract

Brunner’s gland hyperplasia is a rare gastrointestinal (GI) tumor presenting as bleeding or obstructing polyp, usually duodenal. We report a 55 years cirrhotic Egyptian male that presented with repeated attacks of melena, sometimes associated with hematemesis. The bleeding repeated twice to thrice per week. Esophago-gastro-duodenoscope (EGD) showed a duodenal polyp at the second part of the duodenum (D2) and 2 small non-risky esophageal varices. Endoloop was applied at the base of the polyp then removal of the polyp was done using hot snaring. Histopathological examination of the polyp showed that it was Brunner’s gland hyperplasia. Patient followed up for 2 months and the bleeding didn’t recur.

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