Giant Brunner's gland hamartoma: the surgical management of complex cases.

Ann R Coll Surg EnglJan 20, 2026 (epub)
Case ReportGastroenterologyGeneral SurgeryPathology (Anatomic & Clinical)Open access

P Sen, T Broquetas, M Pera

✦ AI-curated · Sources linked

Case in brief

A 74-year-old woman presented with syncope and was found to have significant iron deficiency anaemia and intussusception associated with a massive Brunner’s gland hamartoma. The lesion had a 10 cm pedicle. Given its size and complexity, open surgical resection was considered more appropriate than the endoscopic removal generally favoured for these tumours.

What made this case unusual

The hamartoma’s massive size and long pedicle were associated with both iron deficiency anaemia and intussusception, creating a complex management problem.

Diagnostic / clinical pearl

For a giant Brunner’s gland hamartoma, lesion size and complexity may make open surgical resection more appropriate than the endoscopic approach usually favoured.

Source

PubMed · PMID 41556246Free full text on PubMed Central

Published in Ann R Coll Surg Engl. This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

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