A case of Brunner's gland hamartoma developing jejunoduodenal intussusception and profuse melena

Yoshimitsu Kojima, Masato Fujisaki, Tetsuaki Kameyama, Shinobu Hirahata, Dai Maeda, Hirotoshi Hasegawa, Masahisa Matsumoto, Satoshi Nakamura

Research output: Contribution to journalArticle

Abstract

A 25-year-old man complaining of emesis and anemia was referred to our hospital on suspicion of pyloric stenosis. Endoscopic examination revealed the stenosis of the pylorus, but the endoscope passed through it without difficulty. A retroperitoneal tumor was suspected based on the abdominal CT scan findings, a definite diagnosis was impossible and while undergoing other examinations, the patient unexpectedly developed acute profuse melena. Angiography revealed no significant source of bleeding, and his anemia progressed. Finally, exploratory laparotomy was performed. A polypoid tumor with a maximum diameter of 5 cm was found to arise from the posterior aspect of the first portion of the duodenum to distal to the ligament of Treitz and causing retrograde jejunoduodenal intussusception with the proximal jejunum into the third portion of the duodenum. The source of the hemorrhage was the leading tumor and the tumor was histologically diagnosed as a Brunner's gland hamartoma. Anatomically the intussusception of the duodenum is quite rare. Classification of duodenal intussusception, the mechanism of it and the X-ray findings were discussed.

Original languageEnglish
Pages (from-to)2287-2291
Number of pages5
JournalJapanese Journal of Gastroenterological Surgery
Volume30
Issue number12
Publication statusPublished - 1997
Externally publishedYes

Fingerprint

Brunner Glands
Melena
Hamartoma
Intussusception
Duodenum
Anemia
Neoplasms
Pyloric Stenosis
Hemorrhage
Endoscopes
Pylorus
Jejunum
Ligaments
Laparotomy
Vomiting
Angiography
Pathologic Constriction
X-Rays

Keywords

  • Brunner's gland hamartoma
  • Gastrointestinal hemorrhage
  • Jejunoduodenal intussusception

ASJC Scopus subject areas

  • Gastroenterology
  • Surgery

Cite this

Kojima, Y., Fujisaki, M., Kameyama, T., Hirahata, S., Maeda, D., Hasegawa, H., ... Nakamura, S. (1997). A case of Brunner's gland hamartoma developing jejunoduodenal intussusception and profuse melena. Japanese Journal of Gastroenterological Surgery, 30(12), 2287-2291.

A case of Brunner's gland hamartoma developing jejunoduodenal intussusception and profuse melena. / Kojima, Yoshimitsu; Fujisaki, Masato; Kameyama, Tetsuaki; Hirahata, Shinobu; Maeda, Dai; Hasegawa, Hirotoshi; Matsumoto, Masahisa; Nakamura, Satoshi.

In: Japanese Journal of Gastroenterological Surgery, Vol. 30, No. 12, 1997, p. 2287-2291.

Research output: Contribution to journalArticle

Kojima, Y, Fujisaki, M, Kameyama, T, Hirahata, S, Maeda, D, Hasegawa, H, Matsumoto, M & Nakamura, S 1997, 'A case of Brunner's gland hamartoma developing jejunoduodenal intussusception and profuse melena', Japanese Journal of Gastroenterological Surgery, vol. 30, no. 12, pp. 2287-2291.
Kojima Y, Fujisaki M, Kameyama T, Hirahata S, Maeda D, Hasegawa H et al. A case of Brunner's gland hamartoma developing jejunoduodenal intussusception and profuse melena. Japanese Journal of Gastroenterological Surgery. 1997;30(12):2287-2291.
Kojima, Yoshimitsu ; Fujisaki, Masato ; Kameyama, Tetsuaki ; Hirahata, Shinobu ; Maeda, Dai ; Hasegawa, Hirotoshi ; Matsumoto, Masahisa ; Nakamura, Satoshi. / A case of Brunner's gland hamartoma developing jejunoduodenal intussusception and profuse melena. In: Japanese Journal of Gastroenterological Surgery. 1997 ; Vol. 30, No. 12. pp. 2287-2291.
@article{123cf6ab93d64fa5bbc47659a22cf925,
title = "A case of Brunner's gland hamartoma developing jejunoduodenal intussusception and profuse melena",
abstract = "A 25-year-old man complaining of emesis and anemia was referred to our hospital on suspicion of pyloric stenosis. Endoscopic examination revealed the stenosis of the pylorus, but the endoscope passed through it without difficulty. A retroperitoneal tumor was suspected based on the abdominal CT scan findings, a definite diagnosis was impossible and while undergoing other examinations, the patient unexpectedly developed acute profuse melena. Angiography revealed no significant source of bleeding, and his anemia progressed. Finally, exploratory laparotomy was performed. A polypoid tumor with a maximum diameter of 5 cm was found to arise from the posterior aspect of the first portion of the duodenum to distal to the ligament of Treitz and causing retrograde jejunoduodenal intussusception with the proximal jejunum into the third portion of the duodenum. The source of the hemorrhage was the leading tumor and the tumor was histologically diagnosed as a Brunner's gland hamartoma. Anatomically the intussusception of the duodenum is quite rare. Classification of duodenal intussusception, the mechanism of it and the X-ray findings were discussed.",
keywords = "Brunner's gland hamartoma, Gastrointestinal hemorrhage, Jejunoduodenal intussusception",
author = "Yoshimitsu Kojima and Masato Fujisaki and Tetsuaki Kameyama and Shinobu Hirahata and Dai Maeda and Hirotoshi Hasegawa and Masahisa Matsumoto and Satoshi Nakamura",
year = "1997",
language = "English",
volume = "30",
pages = "2287--2291",
journal = "Japanese Journal of Gastroenterological Surgery",
issn = "0386-9768",
publisher = "Japanese Society of Gastroenterological Surgery",
number = "12",

}

TY - JOUR

T1 - A case of Brunner's gland hamartoma developing jejunoduodenal intussusception and profuse melena

AU - Kojima, Yoshimitsu

AU - Fujisaki, Masato

AU - Kameyama, Tetsuaki

AU - Hirahata, Shinobu

AU - Maeda, Dai

AU - Hasegawa, Hirotoshi

AU - Matsumoto, Masahisa

AU - Nakamura, Satoshi

PY - 1997

Y1 - 1997

N2 - A 25-year-old man complaining of emesis and anemia was referred to our hospital on suspicion of pyloric stenosis. Endoscopic examination revealed the stenosis of the pylorus, but the endoscope passed through it without difficulty. A retroperitoneal tumor was suspected based on the abdominal CT scan findings, a definite diagnosis was impossible and while undergoing other examinations, the patient unexpectedly developed acute profuse melena. Angiography revealed no significant source of bleeding, and his anemia progressed. Finally, exploratory laparotomy was performed. A polypoid tumor with a maximum diameter of 5 cm was found to arise from the posterior aspect of the first portion of the duodenum to distal to the ligament of Treitz and causing retrograde jejunoduodenal intussusception with the proximal jejunum into the third portion of the duodenum. The source of the hemorrhage was the leading tumor and the tumor was histologically diagnosed as a Brunner's gland hamartoma. Anatomically the intussusception of the duodenum is quite rare. Classification of duodenal intussusception, the mechanism of it and the X-ray findings were discussed.

AB - A 25-year-old man complaining of emesis and anemia was referred to our hospital on suspicion of pyloric stenosis. Endoscopic examination revealed the stenosis of the pylorus, but the endoscope passed through it without difficulty. A retroperitoneal tumor was suspected based on the abdominal CT scan findings, a definite diagnosis was impossible and while undergoing other examinations, the patient unexpectedly developed acute profuse melena. Angiography revealed no significant source of bleeding, and his anemia progressed. Finally, exploratory laparotomy was performed. A polypoid tumor with a maximum diameter of 5 cm was found to arise from the posterior aspect of the first portion of the duodenum to distal to the ligament of Treitz and causing retrograde jejunoduodenal intussusception with the proximal jejunum into the third portion of the duodenum. The source of the hemorrhage was the leading tumor and the tumor was histologically diagnosed as a Brunner's gland hamartoma. Anatomically the intussusception of the duodenum is quite rare. Classification of duodenal intussusception, the mechanism of it and the X-ray findings were discussed.

KW - Brunner's gland hamartoma

KW - Gastrointestinal hemorrhage

KW - Jejunoduodenal intussusception

UR - http://www.scopus.com/inward/record.url?scp=53249088142&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=53249088142&partnerID=8YFLogxK

M3 - Article

VL - 30

SP - 2287

EP - 2291

JO - Japanese Journal of Gastroenterological Surgery

JF - Japanese Journal of Gastroenterological Surgery

SN - 0386-9768

IS - 12

ER -