[The gastric antrum: a rare primitive location of a gastrinoma within a type I multiple endocrine neoplasia].
We report the case of an 18-year-old man, with no previous medical history, presenting with recurrent hemorrhagic duodenal ulcers revealing a Zollinger-Ellison syndrome. The initial diagnosis of sporadic gastrinoma of the antrum associated with satellite lymph nodes led to surgical treatment. The evolution of clinical and secretory tests associated with the outbreak of a primary hyperparathyroïdism demonstrated that the patient had a type I multiple endocrine neoplasia. To our knowledge, this is the first described case of primitive gastrinoma of the antrum occurring in a type I multiple endocrine neoplasia.
Buyse
Sophie
S
Service d'Hépato-Gastroentérologie, Hôpital Bichat-Claude Bernard, Paris.
Charachon
Antoine
A
Petit
Thomas
T
Marmuse
Jean-Pierre
JP
Mignon
Michel
M
Soule
Jean-Claude
JC
D000293:Adolescent; D004381:Duodenal Ulcer / Q000209:etiology; D015408:Gastrinoma / Q000150:complications / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008297:Male; D018761:Multiple Endocrine Neoplasia Type 1 / Q000150:complications / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D011706:Pyloric Antrum / Q000473:pathology* / Q000601:surgery; D013274:Stomach Neoplasms / Q000150:complications / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D015043:Zollinger-Ellison Syndrome