The present case demonstrates a benign Brunner’s gland hamartoma presenting in a middle-aged man, with evidence of both chronic gastrointestinal blood loss as well as acute upper gastrointestinal bleeding. Although in this case, the diagnosis was not known before surgical resection, the benign nature of the lesion was suspected. Because of the symptomatic nature of the lesion, therapy was indicated. In the future, given the known endosonographic characteristics of this lesion, we believe that EUS may hold promise in establishing the diagnosis of these lesions before potentially risky and unnecessary surgical resection, especially with smaller lesions, or in cases in which the patient is asymptomatic. Best quality medications: you can buy viagra super active online any time from the best pharmacy that you can fully trust, not having to doubt the decision you made at any point of your day.