Abstract
Radiographic features of the duodenal mucosa were analyzed in a series of 26 patients in whom the diagnosis of Brunner gland hyperplasis (BGH) had been established by endoscopic biopsies. The observed mucosal patterns could be classified into five categories: (1) focal BGH causing a solitary submucosal adenoma or a cluster of sessile polyps in the otherwise smooth duodenal bulb surface (five cases); (2) diffuse BGH manifested by a myriad of small and uniform mucosal elevations (six cases); (3) multifocal BGH producing large and well-demarcated polygonal masses (six cases); (4) BGH with concomitant acute and/ or chronic duodenitis showing marked thickening and nodularity of duodenal folds (four cases); or (5) BGH with predominant erosive duodenitis, leading to ulcerations (five cases). These radiographic findings showed a good correlation with the endoscopic and histopathologic manifestations of BGH and the frequently coexistent duodenitis.
Original language | English (US) |
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Pages (from-to) | 104-108 |
Number of pages | 5 |
Journal | Gastrointestinal Radiology |
Volume | 16 |
Issue number | 1 |
DOIs | |
State | Published - Dec 1 1991 |
Keywords
- Brunner gland hyperplasia, diagnosis
- Duodenum, mucosal pattern
- Gastrointestinal tract, radiography
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging
- Gastroenterology