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A 41-Year-Old Man with Two Types of Metachronous Peptic Ulcer Complication due to Zollinger-Ellison Syndrome—Regression of Pancreatic Primary after Chemoembolization of Hepatic Metastases : A Case Report
Joint Authors
Ghadir, Mohammad Reza
Sarkeshikian, Seyed Saeid
Source
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-07-31
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Introduction.
Gastrinoma should be suspected when the peptic ulcer(s) is postbulbar, multiple, refractory, or recurrent, or ulcer is associated with nephrolithiasis, hypocalcaemia, or erosive esophagitis.
The majority of gastrinomas are malignant.
Case Presentation.
The patient is a 41-year-old Iranian man who has been in good health until 36 months ago when duodenal perforation and two bouts of upper GI bleeding (GIB), each two months apart occurred.
He also mentioned mild watery diarrhoea and decreased appetite.
Serum gastrin level was elevated.
Abdominal CT scan revealed pancreatic mass and three enhancing hepatic masses.
CT-guided pancreatic biopsy revealed monotonous cells.
Chemoembolization of hepatic metastases was done.
New ct images 6 months later showed nearly total regressed hepatic and pancreatic lesions.
Conclusion.
Beside previously defined situations that take gastrinoma into account as the etiology of PUD, accumulation of PUD complications is highly suggestive of Zollinger-Ellisone syndrome (ZES).
Regression of pancreatic primary after chemoembolization of hepatic metastases is unexplainable at the present time.
American Psychological Association (APA)
Sarkeshikian, Seyed Saeid& Ghadir, Mohammad Reza. 2011. A 41-Year-Old Man with Two Types of Metachronous Peptic Ulcer Complication due to Zollinger-Ellison Syndrome—Regression of Pancreatic Primary after Chemoembolization of Hepatic Metastases : A Case Report. Case Reports in Medicine،Vol. 2011, no. 2011, pp.1-5.
https://search.emarefa.net/detail/BIM-450325
Modern Language Association (MLA)
Sarkeshikian, Seyed Saeid& Ghadir, Mohammad Reza. A 41-Year-Old Man with Two Types of Metachronous Peptic Ulcer Complication due to Zollinger-Ellison Syndrome—Regression of Pancreatic Primary after Chemoembolization of Hepatic Metastases : A Case Report. Case Reports in Medicine No. 2011 (2011), pp.1-5.
https://search.emarefa.net/detail/BIM-450325
American Medical Association (AMA)
Sarkeshikian, Seyed Saeid& Ghadir, Mohammad Reza. A 41-Year-Old Man with Two Types of Metachronous Peptic Ulcer Complication due to Zollinger-Ellison Syndrome—Regression of Pancreatic Primary after Chemoembolization of Hepatic Metastases : A Case Report. Case Reports in Medicine. 2011. Vol. 2011, no. 2011, pp.1-5.
https://search.emarefa.net/detail/BIM-450325
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-450325