<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2312-3893</journal-id>
<journal-title><![CDATA[Revista Virtual de la Sociedad Paraguaya de Medicina Interna]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. virtual Soc. Parag. Med. Int.]]></abbrev-journal-title>
<issn>2312-3893</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Medicina Interna]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2312-38932019000100124</article-id>
<article-id pub-id-type="doi">10.18004/rvspmi/2312-3893/2019.06(01)124-127</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Hamartoma de las glándulas de Brunner como causa inusual de sangrado gastrointestinal]]></article-title>
<article-title xml:lang="en"><![CDATA[Brunner's glands hamartoma as an unusual cause of gastrointestinal gbleedin]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Serrano]]></surname>
<given-names><![CDATA[Andrés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Andrade]]></surname>
<given-names><![CDATA[Johanna]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tostige]]></surname>
<given-names><![CDATA[Solanda]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ríos]]></surname>
<given-names><![CDATA[Cristina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[De La Pared]]></surname>
<given-names><![CDATA[Mario]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Regional Teodoro Maldonado Carbo Servicio de Gastroenterología ]]></institution>
<addr-line><![CDATA[Guayaquil ]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Especialidades Espíritu Santo Hospital Luis Vernaza. Posgrado de Medicina Interna.]]></institution>
<addr-line><![CDATA[Guayaquil ]]></addr-line>
<country>Ecuador</country>
</aff>
<pub-date pub-type="pub">
<day>01</day>
<month>03</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>01</day>
<month>03</month>
<year>2019</year>
</pub-date>
<volume>6</volume>
<numero>1</numero>
<fpage>124</fpage>
<lpage>127</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2312-38932019000100124&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2312-38932019000100124&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2312-38932019000100124&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Los tumores benignos del intestino delgado son infrecuentes. Entre ellos, los hamartomas de las glándulas de Brunner se localizan en su mayoría en el bulbo duodenal, generalmente son asintomáticos y detectados mediante una endoscopía de manera incidental. Cuando son de mayor tamaño, clínicamente se pueden presentar con sintomatología obstructiva o manifestaciones hemorrágicas. El tratamiento para este tipo de lesiones benignas es mediante su resección endoscópica o quirúrgica. Reportamos un caso infrecuente de sangrado gastrointestinal producido por un hamartoma de las glándulas de Brunner que fue tratado de manera exitosa mediante resección endoscópica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Benign tumors of the small intestine are infrequent. Among them, the Brunner's glands hamartomas are located mostly in the duodenal bulb, are usually asymptomatic and incidentally detected by an endoscopy. When they are larger, clinically they can present obstructive symptoms or hemorrhagic manifestations. The treatment for this type of benign lesions is the endoscopic or surgical resection. We report an infrequent case of gastrointestinal bleeding produced by a Brunner's gland hamartoma that was successfully treated by endoscopic resection.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[hamartoma]]></kwd>
<kwd lng="es"><![CDATA[glándulas de Brunner]]></kwd>
<kwd lng="es"><![CDATA[sangrado gastrointestinal]]></kwd>
<kwd lng="en"><![CDATA[hamartoma]]></kwd>
<kwd lng="en"><![CDATA[Brunner's gland]]></kwd>
<kwd lng="en"><![CDATA[gastrointestinal bleeding]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Park]]></surname>
<given-names><![CDATA[Beom Jin]]></given-names>
</name>
<name>
<surname><![CDATA[Kim]]></surname>
<given-names><![CDATA[Min Ju]]></given-names>
</name>
<name>
<surname><![CDATA[Lee]]></surname>
<given-names><![CDATA[Jeong Hyeon]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cystic Brunner&#8217;s gland hamartoma in the duodenum]]></article-title>
<source><![CDATA[World J Gastroenterol.]]></source>
<year>2009</year>
<volume>15</volume>
<numero>39</numero>
<issue>39</issue>
<page-range>4980-3</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gonzalez]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Patología intestinal infrecuente, pólipos y lesiones preoneóplasicas.]]></article-title>
<source><![CDATA[Medicine]]></source>
<year>2012</year>
<volume>11</volume>
<page-range>222-30</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Akaki]]></surname>
<given-names><![CDATA[Mayumi]]></given-names>
</name>
<name>
<surname><![CDATA[Taniguchi]]></surname>
<given-names><![CDATA[Shoji]]></given-names>
</name>
<name>
<surname><![CDATA[Hatakeyama]]></surname>
<given-names><![CDATA[Kinta]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Duodenal mucosal damage is associated with proliferative activity of Brunner&#8217;s gland hamartoma]]></article-title>
<source><![CDATA[BMC Gastroenterol.]]></source>
<year>2014</year>
<volume>14</volume>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[G]]></surname>
<given-names><![CDATA[Pillai U.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Large Brunner&#8217;s Gland Hamartoma]]></article-title>
<source><![CDATA[Oman Medical Journal]]></source>
<year>2009</year>
<volume>24</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>41-3</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Iwamuro]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Tanaka]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Ando]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Gotoda]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Kanzaki]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Kawano]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Kawahara]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Okada]]></surname>
<given-names><![CDATA[H.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Endoscopic Resection of a Pedunculated Brunner's Gland Hamartoma of the Duodenum.]]></article-title>
<source><![CDATA[Case Rep Gastrointest Med.]]></source>
<year>2016</year>
<volume>2016</volume>
<page-range>6707235</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rami Abbass]]></surname>
<given-names><![CDATA[MD]]></given-names>
</name>
<name>
<surname><![CDATA[Firas H. Al-Kawas]]></surname>
<given-names><![CDATA[MD.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Brunner Gland Hamartoma.]]></article-title>
<source><![CDATA[Gastroenterol Hepatol]]></source>
<year>2008</year>
<volume>4</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>473-5</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
