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Brunner's gland hyperplasia causing gastric outlet obstruction in a 3-year-old child
  1. Lucy Henderson1,
  2. Cathy Richards2,
  3. Anne Willmott3,
  4. Haitham Dagash1
  1. 1Department of Paediatric Surgery, Leicester Royal Infirmary, Leicester, UK
  2. 2Department of Histopathology, Leicester Royal Infirmary, Leicester, UK
  3. 3Department of Paediatric Gastroenterology, Leicester Royal Infirmary, Leicester, UK
  1. Correspondence to Lucy Henderson, Department of Paediatric Surgery, Leicester Royal Infirmary, Infirmary Square, Leicester LE1 5WW, UK; Lucy.henderson{at}doctors.org.uk

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A previously well 3-year-old girl presented with a 3-month history of progressive, non-bilious vomiting with weight loss. On examination, the abdomen was distended but non-tender; she was euvolemic. Blood tests including amylase and tissue transglutaminase IgA were normal. Abdominal radiograph and ultrasound scan (USS) were non-specific, with a distended stomach seen. A water-soluble contrast study identified delayed gastric emptying. At oesophagogastroduodenoscopy (OGD), a rosette-like mass …

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