Revista de cirugía y práctica clínica

A case of brunners gland hamartoma causing obstructive jaundice

Unnati shah

Brunner’s gland hamartoma is a rare benign tumor of duodenum .We presents a case of large pedunculated duodenal hamartoma causing obstructive jaundice and significant dilatation of intrahepatic biliary radicles. Duodenal polyp is a rare benign tumour formed from a proliferation of Brunner gland, typically forming polypoid growth in proximal duodenum and can extend up to 3rd part of duodenum. It may be incidental finding but can present in emergency with obstruction and haemorrhage requiring surgical endoscopic resection. A 42 year old woman was admitted in our hospital with symptoms of sudden onset of severe epigastric pain and recurrent nausea and vomiting since 15 days and itching since 2 years. CT scan revealed a large pedunculated polyp in first part of duodenum which was extending up to third part of duodenum obstructing ampulla of vater and causing significant dilatation of common bile duct with dilatation of intrahepatic biliary radicles.Laprotomy and polypectomy was done and patient managed postoperatively. 150 cases of Brunner’s gland hamartoma (BGH) have been reported in the literature. BGHs are benign and are thought not to cause bile obstruction. Methods: In this case report, a 60- year-old male is presented with unexplained obstructive jaundice who was also known for over 17 years with diffuse adenomatous hyperplasia of Brunner’s glands in the duodenum.