Brunneroma: Unusual Case of Gastroduodenal Intussusception

Abstract

Introduction: Brunner organ hamartoma, otherwise called brunneroma, is a rare benign tumor of the duodenum. These benign tumors can be asymptomatic or can present with obstructive manifestations as well as gastrointestinal bleeding. Intussusception is an uncommon introduction for a brunneroma. ). The distribution of Brunner’s gland hamartomas is duodenal bulb (57%), the second (27%) and third (5%) portions of the duodenum, the pyloric channel (5%), jejunum (2%), and proximal ileum (2%). Case Report: A 55 year old female came to the gastrointestinal surgery division with complain of epigastric pain intermittent, and aggravated by eating food and associated with nonbilious, non-projectile. There was no history of hematemesis, melena, jaundice, weight loss, or anorexia. Radiological investigations were suggestive of gastric outlet obstruction. The patient underwent a distal gastrectomy . A diagnosis of Brunner’s gland adenoma was made on histopathological examination. Conclusion: Our case was unique as an uncommon tumor Brunner's organ hamartoma, rare location: pyloric, around 8 cm, and rare clinical presentation of Gastroduodenal intussusception. In spite of the fact that brunneroma is an uncommon element, it ought to continuously be considered as a differential conclusion of duodenal polypoidal disease. Larger disease can cause Gastroduodenal intussusceptions and can display with obstructive indications. Keyword: Brunner gland hamartoma, Brunneroma, intussusception, obstruction.