A case of Zollinger-Ellison syndrome: localization of gastrinoma by selective intra-arterial calcium injection.
- Author:
Hong Seok SONG
1
;
Jeong Jo JEONG
;
Kyung Sup SONG
;
Eun Jung JEON
;
Byoung Soo JIE
;
Yeon Joo CHUN
;
Sang Wook CHOI
Author Information
1. Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea. jjjeong@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Zollinger-Ellison syndrome;
Gastrinoma;
Selective intra-arterial calcium injection
- MeSH:
Abdomen;
Calcium*;
Duodenum;
Esophagitis, Peptic;
Fasting;
Gastric Acid;
Gastrinoma*;
Gastrins;
Humans;
Middle Aged;
Peptic Ulcer;
Rare Diseases;
Tomography, X-Ray Computed;
Ulcer;
Zollinger-Ellison Syndrome*
- From:Korean Journal of Medicine
2007;72(5):529-535
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Zollinger-Ellison syndrome is a very rare disease that's caused by tumor having gastrin-producing cells, and this is accompanied by hypergastrinemia leading to gastric acid hypersecretion, peptic ulcer and their complications. A 60-year-old man presented with epigastric pain and soreness he had experienced for 7 days. The endoscopic findings showed reflux esophagitis and multiple active ulcers at the antrum, the duodenal bulb and the 2nd and 3rd portions of the duodenum. The fasting serum gastrin level was markedly elevated above 1,470 pg/mL and this was consistent with the findings of gastrinoma. We confirmed the presence of gastrinoma via the abdomen CT scan and selective intra-arterial calcium injection. This is the first Korean case report of gastrinoma that was localized by selective intra-arterial calcium injection.
