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Images in paediatrics
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. 1 Department of Paediatric Surgery, Leicester Royal Infirmary, Leicester, UK
  2. 2 Department of Histopathology, Leicester Royal Infirmary, Leicester, UK
  3. 3 Department 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}

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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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  • Contributors All authors have contributed to the management of the patient. AW and HD proposed the idea for the case report, which was written by LH and HD. All authors have edited and approved the final manuscript.

  • Competing interests None.

  • Patient consent Parental/guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.