Brunner's gland adenoma - a rare cause of iron deficiency anaemia
M. Priyanthi Kumarasinghe ,
University of Colombo, LK
About M. Priyanthi
Associate Professor of Pathology, Department of Pathology, Faculty of Medicine
K. L. Fernando
Consultant Surgeon and Surgical Gastroenterologist, 30, Sapumal Place, Circular Road, Rajagiriya, LK
A 35 year old female who had epigastric pain and iron deficiency anaemia for several months was diagnosed to have a Brunner's gland adenoma. Upper gastro-intestinal endoscopy (UGIE) performed twice and barium meal follow through failed to reveal any abnormality initially. The third UGIE showed a polyp in the junction between the 1st and 2nd parts of the duodenum. Histology of the polyp showed features of a Brunner's gland adenoma.
Brunner's gland adenoma is a rare tumour of the duodenum. Endoscopic biopsy diagnosis is often difficult. Haemorrhage and obstruction, both recognised complications of a Brunneroma were evident in this patient. Recurrent epigastric pain was most probably due to obstruction. Haemorrhage was severe enough to cause iron deficiency anaemia.
Patient is free of symptoms and signs six months after successful resection of the polyp.
How to Cite:
Kumarasinghe, M.P. and Fernando, K.L., 1997. Brunner's gland adenoma - a rare cause of iron deficiency anaemia. Ceylon Journal of Medical Science, 40(1), pp.25–27. DOI: http://doi.org/10.4038/cjms.v40i1.4833
27 Jun 1997.