2016 Volume 36 Issue 1 Pages 125-127
A 57-year-old woman was admitted to our hospital with upper abdominal pain and melena. BA duodenal Brunner's tumor was suspected 4 years previously. This time the patient was diagnosed as having gastrointestinal bleeding and an intussusception into the jejunum along with a Brunner's tumor, based on abdominal CT scans and duodenal endoscopy. Twelve hours after admission, severe abdominal pain and vomiting occurred. Emergency endoscopy was performed obstruction of duodenum was diagnosed because of the tumor, but endoscopic treatment was impossible. On laparotomy, the tumor was palpated over by the ligament of Treitz and the superior part of the duodenum had prolapsed into the jejunum. The intussusception was relieved and a duodenectomy was performed. Based on the postoperative pathology, the duodenal tumor was diagnosed as a Brunner’s tumor.
