抗血栓薬内服中に消化管出血を来したBrunner腺過形成性polypの1例

渡邉 友絵; 小池 潤; 中江 浩彦; 今井 仁; 津田 真吾; 中村 淳; 木嶋 麻衣子; 築根 陽子; 湯原 宏樹; 内田 哲史; 五十嵐 宗喜; 鈴木 孝良; 峯 徹哉

doi:10.11641/pde.86.1_156

Case report

A case of duodenal Brunner’s gland hyperplastic polyp causing with hemorrhage taking antithrombotic drugs

Tomoe Watanabe, Jun Koike, Hirohiko Nakae, Jin Imai, Shingo Tsuda, Jun Nakamura, Maiko Kijima, Yoko Tsukune, Hiroki Yuhara, Tetsufumi Uchida, Muneki Igarashi, Takayoshi Suzuki, Tetsuya Mine

Author information

Tomoe Watanabe
Department of Gastroenterology Tokai University School of Medicine
Jun Koike
Department of Gastroenterology Tokai University School of Medicine
Hirohiko Nakae
Department of Gastroenterology Tokai University School of Medicine
Jin Imai
Department of Gastroenterology Tokai University School of Medicine
Shingo Tsuda
Department of Gastroenterology Tokai University School of Medicine
Jun Nakamura
Department of Gastroenterology Tokai University School of Medicine
Maiko Kijima
Department of Gastroenterology Tokai University School of Medicine
Yoko Tsukune
Department of Gastroenterology Tokai University School of Medicine
Hiroki Yuhara
Department of Gastroenterology Tokai University School of Medicine
Tetsufumi Uchida
Department of Gastroenterology Tokai University School of Medicine
Muneki Igarashi
Department of Gastroenterology Tokai University School of Medicine
Takayoshi Suzuki
Department of Gastroenterology Tokai University School of Medicine
Tetsuya Mine
Department of Gastroenterology Tokai University School of Medicine

JOURNAL FREE ACCESS

2015 Volume 86 Issue 1 Pages 156-157

DOI https://njjn-jsjc-gov-cn-s-1416.res.gxlib.org.cn:443/rwt/1416/https/MSYXTLUQPJUB/10.11641/pde.86.1_156

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Abstract

A 65-year-old man admitted for melena who was receiving anticoagulant and antiplatlet therapy for prosthetic heart val‑ves. A giant pedunculated polyp with erosion on its surface in the duodenal bulb was found by upper gastrointestinal examination and revealed hemorrhagic state. This polyp was resected by endoscopic technique. The resected specimen revealed 28×18 mm in size and pathologically diagnosed as a Brunner's gland hyperplasia.
Brunner’s gland hyperplastic polyp was common benign tumor in the duodenum,but rarely it causes gastorointestinal bleeding. This case was reported in addition with the literature.

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