Brunner Gland Adenoma

A 42-year-old man with a history of dyspepsia presented to the hospital with 2 weeks of epigastric pain, weakness, fatigue, dyspnea on exertion, and melenic stools. Labs were significant for a hemoglobin of 5.9 g/dL from a baseline of 14.2 g/dL (reference range, 13.5-17.5 g/dL). Esophagogastroduodenoscopy demonstrated a large pedunculated duodenal mass with surface erosions, extending from the pylorus into the third portion; on endoscopic ultrasound, the stalk appeared to originate from the submucosa and had prominent central vessels without evidence of varices.
Source: Mayo Clinic Proceedings - Category: Internal Medicine Authors: Tags: Medical images Source Type: research