Large Duodenal Adenoma Causing Significant Bleeding Successfully Removed by Endoscopic Measure- Case Report

Iqbal Murshed Kabir, Adnan Tasneem Hoque, Maliha Sulzana, Maisha Bintay Alam

PULSE · 2026-yil

Annotatsiya

BACKGROUND: Brunner’s gland adenoma is a rare benign tumor arising from the submucosal glands of the duodenum. Most lesions are small and asymptomatic, but larger tumors may present with gastrointestinal bleeding, anemia, or obstruction. Lesions located in the distal duodenum may be difficult to detect with conventional endoscopy CASE PRESENTATION: A 67-year-old man with hypertension and diabetes presented with recurrent melena for two years, worsening over the previous two months. Prior evaluations, including esophagogastroduodenoscopy, side-viewing endoscopy, and colonoscopy, failed to identify the bleeding source. He was found to have severe iron deficiency anemia (hemoglobin 7.2 g/dL). Contrast-enhanced CT revealed an intraluminal lesion in the third part of the duodenum. Further evaluation using a pediatric colonoscope enabled deeper duodenal intubation and identified a large bleeding pedunculated polyp in the second part of the duodenum. Endoscopic treatment with adrenaline injection, hemoclip placement, and snare polypectomy was successfully performed. The resected polyp measured 5.5 cm, and histopathology confirmed Brunner’s gland adenoma. The patient recovered uneventfully with resolution of bleeding and improvement in hemoglobin levels. CONCLUSION: Brunner’s gland adenoma should be considered in patients with unexplained recurrent upper gastrointestinal bleeding and iron deficiency anemia when routine endoscopy is inconclusive. Advanced endoscopic techniques allowing deeper duodenal examination can facilitate diagnosis, and endoscopic resection provides effective definitive treatment. Pulse Volume 17, Issue 2 2025; 41-44

Maqola ma’lumotlari
MualliflarIqbal Murshed Kabir, Adnan Tasneem Hoque, Maliha Sulzana, Maisha Bintay Alam
JurnalPULSE
NashriyotPROFI университетининг
ISSN2074-1855, 2235-8668
Nashr sanasi2026-05-19
Jild17
Son2
Betlar41-44
TilIngliz
Ilmiy sohaPsixologiya
DOI10.3329/pulse.v17i2.90030
Indeksga qo‘shilgan2026-09-02

DOI: 10.3329/pulse.v17i2.90030 · Maqolaning asl sahifasi · PDF

Ilmiy soha

Psixologiya

Iqtibos keltirish

APAIqbal Murshed Kabir, Adnan Tasneem Hoque, Maliha Sulzana, & Maisha Bintay Alam (2026). Large Duodenal Adenoma Causing Significant Bleeding Successfully Removed by Endoscopic Measure- Case Report. PULSE, 17(2), 41-44. https://doi.org/10.3329/pulse.v17i2.90030
GOST (OAK)Iqbal Murshed Kabir va b. Large Duodenal Adenoma Causing Significant Bleeding Successfully Removed by Endoscopic Measure- Case Report // PULSE. – 2026. – T. 17, № 2. – P. 41-44. – DOI: 10.3329/pulse.v17i2.90030.
MLAIqbal Murshed Kabir, Adnan Tasneem Hoque, Maliha Sulzana, and Maisha Bintay Alam. “Large Duodenal Adenoma Causing Significant Bleeding Successfully Removed by Endoscopic Measure- Case Report.” PULSE, 17(2), 41-44, 2026. https://doi.org/10.3329/pulse.v17i2.90030
ChicagoIqbal Murshed Kabir, Adnan Tasneem Hoque, Maliha Sulzana, and Maisha Bintay Alam. “Large Duodenal Adenoma Causing Significant Bleeding Successfully Removed by Endoscopic Measure- Case Report.” PULSE, 17(2), 41-44 (2026). https://doi.org/10.3329/pulse.v17i2.90030
HarvardIqbal Murshed Kabir, Adnan Tasneem Hoque, Maliha Sulzana, and Maisha Bintay Alam (2026) ‘Large Duodenal Adenoma Causing Significant Bleeding Successfully Removed by Endoscopic Measure- Case Report’, PULSE, 17(2), 41-44. https://doi.org/10.3329/pulse.v17i2.90030
BibTeX
@article{iqbalmurshedkabir2026,
  title = {Large Duodenal Adenoma Causing Significant Bleeding Successfully Removed by Endoscopic Measure- Case Report},
  author = {Iqbal Murshed Kabir and Adnan Tasneem Hoque and Maliha Sulzana and Maisha Bintay Alam},
  journal = {PULSE},
  year = {2026},
  volume = {17},
  number = {2},
  pages = {41-44},
  doi = {10.3329/pulse.v17i2.90030},
  url = {https://doi.org/10.3329/pulse.v17i2.90030}
}

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