Endoloop ligation-assisted resection of bleeding ulcerated Brunner’s gland adenoma

Brunner's gland adenoma is a rare benign polyp located in the proximal duodenum above the duodenal papilla 1. It arises due to the proliferation of Brunner's glands and can result in polyps larger than 2 cm. These large lesions may lead to complications such as duodenal obstruction, bleeding, and duodenal intussusception. Bleeding primarily occurs due to traumatic ulceration of the polyp, caused by the back and forth movements of the polyp's head against the opposite duodenal wall. Endoscopic resection is the preferred treatment for Brunner's gland adenoma and can be performed using polypectomy, endoscopic mucosal resection, or endoscopic submucosal dissection 2.