2008 Volume 50 Issue 12 Pages 3040-3047
A 58-year-old woman complaining of a tarry stool was diagnosed with a duodenal tumor. She was recommended to receive surgery at another hospital but desired endoscopic treatment, and she was admitted to our hospital. Endoscopic examination revealed that a large pedunculated polyp, 60mm in size, arose from the duodenal bulb and its head extended to the third portion. Since the tumor was elastic hard and covered with normal duodenal mucosa, endoscopic diagnosis was Brunner's gland hyperplasia. The tumor was resected by endoscopic polypectomy. Because surgery for duodenal tumors could be associated with sever complications, endoscopic resection should be performed based on the exact diagnosis and proper indication.
