case_images: PMC5301130_01
case_images: Large pedunculated polyp (3 x 6 cm) in the first section of the duodenum with stigmata of recent hemorrhage which almost occluded the duodenal lumen completely.
case_images: crg-0011-0001-g01.jpg
case_images: PMC5301130_01_crg-0011-0001-g01.jpg
case_images: F1
case_images: The emergency EGD revealed a large pedunculated polyp (3 x 6 cm) in the first section of the duodenum with stigmata of recent hemorrhage which almost occluded the duodenal lumen completely (Fig. 1).
case_images: Endoscopic resection with a 30-mm standard snare.
case_images: crg-0011-0001-g02.jpg
case_images: PMC5301130_01_crg-0011-0001-g02.jpg
case_images: F2
case_images: This procedure was repeated 3 times until the bulk seemed to be removed (Fig. 2, Fig. 3).
case_images: The Brunner's gland hyperproliferation was extended within the submucosa with a distance of 1-2 mm to the muscularis.
case_images: crg-0011-0001-g04.jpg
case_images: PMC5301130_01_crg-0011-0001-g04.jpg
case_images: F4
case_images: The Brunner's gland hyperproliferation was extended within the submucosa with a distance of 1-2 mm to the muscularis (Fig. 4), though the endoscopic examination showed a strong vascularity of the submucosal lesions.