CASE-REPORT OF BRUNNERS GLAND HAMARTOMA A S A CAUSE OF UPPER GASTROINTESTINAL-BLEEDING

A twentysix year old woman was admitted suffering an anemia syndrome, postprandial vomiting and intermittent melena of six months evolution. The hemoglobin was 3.5 g/dL: an endoscopy detected a large tumor in t he duodenum with a 90% obstruction of the lumen; A biopsy reported an erosive, acute and chronic duodenitis. Subsequently a surgical explora tion with duodenotomy showed a large nodular polyp attached to a stalk that was removed: a hemartomatous polyp of Brunner's glands was repor ted. It coursed with gastrointestinal bleeding and symptoms of duodena l obstruction, which are two of the most common symptoms of this rare tumor.