title: Nonfunctioning islet cell tumor presenting with ascites and portal hypertension.
abstract: Nonfunctioning islet cell tumors commonly cause no symptoms. A 22-year-old woman presented with lump in the left hypochondrium, refractory high-protein ascites and evidence of left-sided portal hypertension. At exploratory laparotomy, a 30 cm x 15 cm mass was seen at the splenic hilum, with large collateral vessels around. Distal pancreatectomy with splenectomy was done. Histology of the mass showed malignant islet cell tumor infiltrating the spleen. The patient died in the postoperative period.
authors.affiliation: Department of Surgical Gastroenterology, K E M Hospital and Seth G S Medical College, Mumbai 400 012. abhaydalvi@hotmail.com
authors.forename: A N
authors.initials: AN
authors.lastname: Dalvi
authors.forename: S A
authors.initials: SA
authors.lastname: Rege
authors.forename: M R
authors.initials: MR
authors.lastname: Bapat
authors.forename: Philip
authors.initials: P
authors.lastname: Abraham
authors.forename: A S
authors.initials: AS
authors.lastname: Joshi
authors.forename: R D
authors.initials: RD
authors.lastname: Bapat
mesh_terms: D000328:Adult; D001201:Ascites / Q000209:etiology*; D018273:Carcinoma, Islet Cell / Q000150:complications / Q000175:diagnosis*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D009361:Neoplasm Invasiveness; D010190:Pancreatic Neoplasms / Q000150:complications / Q000175:diagnosis*; D013154:Spleen / Q000473:pathology*; D014057:Tomography, X-Ray Computed