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A 50−year−old man was referred to our hospital for evaluation of indigestion. The physical examination was unremarkable. Routine laboratory tests showed regular findings. Upper endoscopy revealed inci− dentally a huge pedunculated polyp on the posterior wall of the bulb of the duo− denum (Figure 1). Endoscopic ultrasono− graphy showed that the submucosa pro− jected up into the 11−mm thick stalk of the polyp.

Endoscopic removal of giant Brunneroma presenting as a large pedunculated polyp