巨大Brunner腺瘤合并出血一例  

Giant Brunner’s gland adenoma of the duodenum complicated with bleeding:a case report

作　　者：徐琪[1] 王嫣 汤净[1] 高飞 张杰伟 庄桂凤 Xu Qi;Wang Yan;Tang Jing;Gao Fei;Zhang Jiewei;Zhuang Guifeng(Department of Gastroenterology,the First Affiliated Hospital of Hainan Medical College,Haikou 570102,China)

机构地区：[1]海南医学院第一附属医院消化科,海口570102

出　　处：《新医学》2022年第12期935-939,共5页Journal of New Medicine

基　　金：2016年海南医学院附属医院青年培育基金(HYFYPY201614)。

摘　　要：Brunner腺瘤(BGA)是十二指肠的一种良性肿瘤,临床上极其罕见。该文报道1例巨大BGA的诊治过程,该患者既往有贫血病史4年,从未行相关检查明确病因。此次因头晕首诊于神经内科,住院期间因发现消化道出血转至消化科,治疗过程中出现失血性休克、一过性晕厥表现,经药物治疗病情好转后立即行胃镜检查发现十二指肠降段隆起性病变,最终经内镜下切除病理诊断为BGA。该文提示消化内科/内镜医师应加深对该病的认识,提高诊治水平。Brunner’s gland adenoma(BGA)of the duodenum is an extremely rare benign tumor in clinical practice.In this article,the diagnosis and treatment of one case of BGA of the duodenum were reported.The patient had a history of anemia for 4 years,but she never received tests to identify the cause.She was admitted to Department of Neurology for the first time due to dizziness,and was transferred to our department due to gastrointestinal bleeding during hospitalization.Hemorrhagic shock and transient syncope occurred during treatment,which were alleviated after drug therapy.Then,gastroscopy was immediately performed and showed protrusion lesions in the descending duodenum.The diagnosis of BGA was finally confirmed by endoscopic pathological resection.This article aiming to deepen the gastroenterologists/endoscopists’understanding of BGA and improve the diagnostic and therapeutic levels.

关 键 词：十二指肠 BRUNNER腺瘤 胃镜 内镜治疗 

分 类 号：R735.31[医药卫生—肿瘤]