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Unusual cause of duodenal bleeding, Brunnoma, managed unusually: a case report

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Brunnoma, is a benign tumor of duodenal wall. Usually present with anaemia. Endoscopy of stomach and duodenum gives the diagnosis. Pedunculated lesion is best managed by endoscopic snare and cautery excision. Lesion close to pylorus makes the endoscopy difficult. Hence a mini-laparotomy, and trans-gastric three port endo-luminal harmonic excision was done safely.


brunnoma, anaemia, endoluminal surgery