Excessive nodular hyperplasia of brunner glands associated with gastric hypersecretion and lipomatous atrophy of the pancreas

A. Toøttrup, M. Rokkjær*, A. Kruse, S. Seier Poulsen, N. O. Jacobsen

*Corresponding author for this work
3 Citations (Scopus)

Abstract

The case of a 34-year-old woman complaining of diarrhoea and abdominal pain is presented. Contrast radiography and endoscopy showed multiple polypoid tumours in the second part of the duodenum. Moreover, a severe fatty infiltration of the pancreas was shown by magnetic resonance and computed tomography scans. Due to pain, pancreatoduodenectomy (Whipple operation) was performed, and subsequent histopathologic examinations showed excessive Brunner gland hyperplasia of the duodenum and severe lipomatous atrophy of the pancreas. The occurrence of these two rare conditions in one patient has not been described previously, and it is conceivable that the lipomatous atrophy and exocrine insufficiency of the pancreas may have caused a compensatory stimulation of the submucosal structures of the duodenum.

Original languageEnglish
Book seriesScandinavian Journal of Gastroenterology
Volume34
Issue number5
Pages (from-to)541-544
Number of pages4
ISSN0036-5521
DOIs
Publication statusPublished - 13 Jul 1999

Keywords

  • Diarrhoea
  • Duodenal mucosa
  • Malabsorption
  • Pancreatic secretion
  • Pathophysiology of the pancreas

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