[Pseudo Zollinger-Ellison syndrome in a patient with duodenal stenosis caused by tuberculosis]. / Pseudo-syndrome de Zollinger-Ellison en rapport avec une sténose duodénale d'origine tuberculeuse.
Gastroenterol Clin Biol
; 29(11): 1164-8, 2005 Nov.
Article
en Fr
| MEDLINE
| ID: mdl-16505764
ABSTRACT
We report the case of a 32-year-old Indian man with symptoms suggesting Zollinger-Ellison syndrome including abdominal pain, esaphagitis, duodenal stenosis that did not improve with antisecretory medication, elevated fasting gastrin serum levels that increased after intravenous secretin injections, elevated chromogranin A serum levels and tumoral aspect of pancreatic uncus on CT scan examination. A pancreaticoduodenectomy was performed. Histological examination of the resected specimen showed that there was no endocrine tumour of the pancreas or the duodenum, but identified marked lesions of follicular and caseous tuberculosis. The final diagnosis retained pseudo Zollinger-Ellison syndrome due to gastric outlet obstruction caused by duodenal stenosis of a tuberculosis origin.
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Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Tuberculosis
/
Síndrome de Zollinger-Ellison
/
Pancreaticoduodenectomía
/
Enfermedades Duodenales
Tipo de estudio:
Diagnostic_studies
/
Prognostic_studies
Límite:
Adult
/
Humans
/
Male
Idioma:
Fr
Revista:
Gastroenterol Clin Biol
Año:
2005
Tipo del documento:
Article