Brunner's Gland Adenoma - An Incidental Finding with Duodenal Perforation

Objective Brunners gland adenomas (BGA) are rare benign tumours of the duodenum, which are usually small in size, asymptomatic and discovered incidentally at endoscopy. Occasionally they may be large, causing upper gastrointestinal hemorrhage. Background Less than 200 cases have been reported in the world medical English literature. Method A 45 yrs male presented with acute abdominal pain and distention. History and detail clinical examination were suggestive of perforation with peritonitis. On exploratory laprotomy there was a perforation with an indurated nodule at the edge of the perforation site. Result Histopathological study of the nodule revealed Brunners gland adenoma. Conclusion BGA are usually small asymptomatic and discovered incidentally at the endoscopy. Occasionally they may be large causing upper gastrointestinal bleeding. In the present case BGA was incidental finding with duodenal perforation.