An enucleated duodenal gastrinoma with multiple type 1 endocrine neoplasia located by selective arterial calcium injection

Nihon Shokakibyo Gakkai Zasshi. 2011 Jan;108(1):80-7.

Abstract

We report a duodenal gastrinoma in a 50-year-old man who was admitted to our hospital with tarry stools. Esophagogastroduodenoscopy revealed multiple ulcers in the duodenal bulb and a submucosal tumor in the descending duodenum. His serum gastrin level was 1400pg/ml. We suspected Zollinger-Ellison syndrome and performed selective arterial calcium injection to locate the gastrinoma. Increase in the hepatic venous gastrin level was seen only in the gastroduodenal artery area. We diagnosed a gastrinoma located in the pancreaticoduodenal area. Genetic examination showed a single-base deletion in the MEN-1 gene. At operation, the tumor was found in the submucosal layer of the descending duodenum and was extirpated. He is alive without recurrence 3 years after surgery.

Publication types

  • Case Reports

MeSH terms

  • Calcium Gluconate* / administration & dosage
  • Duodenal Neoplasms / complications
  • Duodenal Neoplasms / diagnostic imaging
  • Duodenal Neoplasms / surgery*
  • Gastrinoma / complications
  • Gastrinoma / diagnostic imaging
  • Gastrinoma / surgery*
  • Humans
  • Injections, Intra-Arterial
  • Male
  • Middle Aged
  • Multiple Endocrine Neoplasia Type 1 / complications*
  • Radiography

Substances

  • Calcium Gluconate