A case of brunner gland hyperplasia with gastrointestinal bleeding

タール便を契機に発見された十二指腸腫瘍の1例

A case of brunner gland hyperplasia with gastrointestinal bleeding

Creators Yano Kanae

Creators Hirano Atsuyoshi

Creators Oshita Satoshi

Creators Harada Katsunori

Creators Tsuchiya Masako

Creators Kimura Teruaki

Creators Kato Akira

Creators Setoguchi Mihoko

Creators Yamashita Satoyoshi

Creators Okita Kiwamu

　タール便は主に上部消化管出血による症状であり,その原因としては,胃･十二指腸潰瘍,食道･胃静脈瘤破裂が多く,その他の原因はまれである.今回,我々はタール便を契機に発見された十二指腸腫瘍の1例を経験したので報告する.症例は64歳男性.主訴はタール便.患者はタール便を自覚し近医を受診.同院で上下部消化管内視鏡検査を施行され,十二指腸球部後壁に全体が発赤調で,大きさが20mmを越える粘膜下腫瘍 (SMT

Tarry stool indicates bleeding from diseases in the upper gastrointestinal tract such as peptic ulcers or rupture of varices. A 64-year old man complaining of tarry stool visited a hospital for check-up. Upper and lower gastrointestinal endoscopic examination revealed a submucosal tumor-like protruding lesion at the duodenal bulbus. Obvious bleeding was never seen around this lesion. Because there was a erosion on the polypoid lesion, we considered that the lesion was the source of bleeding. The resected specimen revealed that tumor size was 30×25mm and histological diagnosis was Brunner’s gland hyperplasia. We report a case of duodenal tumor found by tarry stool.

[ISSN]0513-1731

[NCID]AN00243156