Pyloric giant Brunner's gland hamartoma as a cause of both duodenojejunal intussusception and obscure gastrointestinal bleeding

YILMAZ, GÜLSEN; TÜZÜN, Yekta; BİLİCİ, Aslan; BAYAN, Kadim; YILMAZ, Şerif

Pyloric giant Brunner's gland hamartoma as a cause of both duodenojejunal intussusception and obscure gastrointestinal bleeding

Kadim BAYAN, (Dicle Üniversitesi, Tıp Fakültesi, Gastroenteroloji Anabilim Dalı, Diyarbakır, Türkiye)

Yekta TÜZÜN, (Dicle Üniversitesi, Tıp Fakültesi, İç Hastalıkları Anabilim Dalı, Diyarbakır, Türkiye)

Şerif YILMAZ, (Dicle Üniversitesi, Tıp Fakültesi, Gastroenteroloji Anabilim Dalı, Diyarbakır, Türkiye)

GÜLSEN YILMAZ, (Dicle Üniversitesi, Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Diyarbakır, Türkiye)

Aslan BİLİCİ (Dicle Üniversitesi, Tıp Fakültesi, Radyoloji Anabilim Dalı, Diyarbakır, Türkiye)

Turkish Journal of Gastroenterology

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Yıl: 2009 Cilt: 20 Sayı: 1 Sayfa Aralığı: 52 - 56 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Pyloric giant Brunner's gland hamartoma as a cause of both duodenojejunal intussusception and obscure gastrointestinal bleeding

Öz:

Obscure gastrointestinal kanama önemli bir sorundur. Brunner gland hamartoması oldukça nadir bir tümördür ve genellikle duodenal bulba yerleşimlidir. Burada üç yıldır birçok melena atağından yakınan 34 yaşında bir kadın hastayı sunmaktayı z. Kompitürize tomografide batın sağ üst kadranda büyük bir hedef lezyon ve enteroklizis ile desteklenen intestinal malrotasyonu temsil eden görünüm izlendi. Eksploratrif laparotomide Treitz ligamenti vertebral kolumnun orta-sağ tarafında lokalize idi ve duodenal bulbun proksimal jejunuma invajine olduğ u gözlendi. Longitudinal duodenotomiden sonra pilorik halkadan köken alan saplı, halka şekilli büyük bir polip görülerek eksize edildi. Histoloji Brunner gland hamartoması ile uyumlu idi. Obscure kanamalı bu olgu, nadir ve pilorik yerleşimli büyük, halka şekilli tumor sergilemesi bakımından orjinaldi. Dahası, hastada intestinal malrotasyonun eşlik ettiği nadir bir sunum olan duodenojejunal intussepsiyon vardı.

Anahtar Kelime: İnvajinasyon Erişkin Gastrointestinal kanama Duodenum hastalıkları Hamartom Mide mukozası Brunner Bezleri Kadın Jejunum hastalıkları

Konular: Cerrahi

Duodenojejunal intussepsiyon ve gizli gastrointestinal kanama nedeni olarak pilorik dev Brunner gland hamartoması

Öz:

Obscure gastrointestinal bleeding is an important dilemma. Brunner's gland hamartoma is an extremely rare tumor generally localized in the duodenal bulb. We present a 34-year-old woman who had suffered from several episodes of melena for the past three years. Endoscopic examinations were normal. Computed tomography showed a large target lesion over the right abdomen and an image representing intestinal malrotation, which was supported by enteroclysis. At exploratory laparotomy, ligamentum of Treitz was located in the mid-to-right side of the columna vertebralis, and the duodenal bulb was found to be invaginated into the proximal jejunum. After longitudinal duodenotomy, a pedunculated ring-shaped large polyp originating from the pyloric ring was seen and excised. Histology was consistent with Brunner’s gland hamartoma. This case with obscure bleeding was original with respect to its rarity and being a huge, ring-shaped tumor with pyloric localization. Moreover, the patient had a rare clinical presentation of duodenojejunal intussusception with accompanying intestinal malrotation.

Anahtar Kelime: Brunner Glands Female Jejunal Diseases Intussusception Adult Gastrointestinal Hemorrhage Duodenal Diseases Hamartoma Gastric Mucosa

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık

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APA	BAYAN K, TÜZÜN Y, YILMAZ Ş, YILMAZ G, BİLİCİ A (2009). Pyloric giant Brunner's gland hamartoma as a cause of both duodenojejunal intussusception and obscure gastrointestinal bleeding. , 52 - 56.
Chicago	BAYAN Kadim,TÜZÜN Yekta,YILMAZ Şerif,YILMAZ GÜLSEN,BİLİCİ Aslan Pyloric giant Brunner's gland hamartoma as a cause of both duodenojejunal intussusception and obscure gastrointestinal bleeding. (2009): 52 - 56.
MLA	BAYAN Kadim,TÜZÜN Yekta,YILMAZ Şerif,YILMAZ GÜLSEN,BİLİCİ Aslan Pyloric giant Brunner's gland hamartoma as a cause of both duodenojejunal intussusception and obscure gastrointestinal bleeding. , 2009, ss.52 - 56.
AMA	BAYAN K,TÜZÜN Y,YILMAZ Ş,YILMAZ G,BİLİCİ A Pyloric giant Brunner's gland hamartoma as a cause of both duodenojejunal intussusception and obscure gastrointestinal bleeding. . 2009; 52 - 56.
Vancouver	BAYAN K,TÜZÜN Y,YILMAZ Ş,YILMAZ G,BİLİCİ A Pyloric giant Brunner's gland hamartoma as a cause of both duodenojejunal intussusception and obscure gastrointestinal bleeding. . 2009; 52 - 56.
IEEE	BAYAN K,TÜZÜN Y,YILMAZ Ş,YILMAZ G,BİLİCİ A "Pyloric giant Brunner's gland hamartoma as a cause of both duodenojejunal intussusception and obscure gastrointestinal bleeding." , ss.52 - 56, 2009.
ISNAD	BAYAN, Kadim vd. "Pyloric giant Brunner's gland hamartoma as a cause of both duodenojejunal intussusception and obscure gastrointestinal bleeding". (2009), 52-56.

APA	BAYAN K, TÜZÜN Y, YILMAZ Ş, YILMAZ G, BİLİCİ A (2009). Pyloric giant Brunner's gland hamartoma as a cause of both duodenojejunal intussusception and obscure gastrointestinal bleeding. Turkish Journal of Gastroenterology, 20(1), 52 - 56.
Chicago	BAYAN Kadim,TÜZÜN Yekta,YILMAZ Şerif,YILMAZ GÜLSEN,BİLİCİ Aslan Pyloric giant Brunner's gland hamartoma as a cause of both duodenojejunal intussusception and obscure gastrointestinal bleeding. Turkish Journal of Gastroenterology 20, no.1 (2009): 52 - 56.
MLA	BAYAN Kadim,TÜZÜN Yekta,YILMAZ Şerif,YILMAZ GÜLSEN,BİLİCİ Aslan Pyloric giant Brunner's gland hamartoma as a cause of both duodenojejunal intussusception and obscure gastrointestinal bleeding. Turkish Journal of Gastroenterology, vol.20, no.1, 2009, ss.52 - 56.
AMA	BAYAN K,TÜZÜN Y,YILMAZ Ş,YILMAZ G,BİLİCİ A Pyloric giant Brunner's gland hamartoma as a cause of both duodenojejunal intussusception and obscure gastrointestinal bleeding. Turkish Journal of Gastroenterology. 2009; 20(1): 52 - 56.
Vancouver	BAYAN K,TÜZÜN Y,YILMAZ Ş,YILMAZ G,BİLİCİ A Pyloric giant Brunner's gland hamartoma as a cause of both duodenojejunal intussusception and obscure gastrointestinal bleeding. Turkish Journal of Gastroenterology. 2009; 20(1): 52 - 56.
IEEE	BAYAN K,TÜZÜN Y,YILMAZ Ş,YILMAZ G,BİLİCİ A "Pyloric giant Brunner's gland hamartoma as a cause of both duodenojejunal intussusception and obscure gastrointestinal bleeding." Turkish Journal of Gastroenterology, 20, ss.52 - 56, 2009.
ISNAD	BAYAN, Kadim vd. "Pyloric giant Brunner's gland hamartoma as a cause of both duodenojejunal intussusception and obscure gastrointestinal bleeding". Turkish Journal of Gastroenterology 20/1 (2009), 52-56.