[Gastrinoma localized in the pylorus in a patient with recurrent peptic ulcer].
We report a clinical case of a woman, 56 years old, with a history of duodenal ulcer and esophagitis, under medication with H2 receptors blockers during 3 years. Plasma basal gastrin was near normal levels. A stimulation test with secretin was compatible with gastrinoma. CT scan and selective angiography didn't localize the tumor. At laparotomy we found a pyloric nodule that prove to be the gastrinoma. Eighteen months after surgery the patient is asymptomatic and with a normal endoscopic examination and secretin stimulation test.
Duarte
P
P
Serviços de Gastrenterologia e Cirurgia 5, Hospital de S. António dos Capuchos, Lisboa.
Luz
Z
Z
Lourenço
I
I
Reis
B
B
Alvelos
A
A
D004381:Duodenal Ulcer / Q000209:etiology*; D005260:Female; D015408:Gastrinoma / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008875:Middle Aged; D011708:Pylorus; D012008:Recurrence; D013274:Stomach Neoplasms / Q000150:complications* / Q000175:diagnosis
Gastrinoma de localização pilórica numa doente com úlcera péptica recorrente.