title: Primary liver carcinoid tumour with a Zollinger Ellison syndrome - an unusual diagnosis: a case report.
abstract: Carcinoids are neuroendocrine tumours which may secrete hormones like gastrin, insulin, ACTH, etc. Liver is a common site for metastasis of carcinoid origin and an unusual site for a primary carcinoid tumour to arise.We present the case of a 51-year-old Caucasian man with diarrhoea, weight loss, duodenum ulcers and a liver mass in ultrasonography. A primary hepatic carcinoid tumour with a Zollinger Ellison syndrome was diagnosed. Surgery resection was performed and the patient remained free of symptoms two years after, with normalisation of gastrin levels.Primary hepatic carcinoid tumour represents an uncommon diagnosis, based on radiological and pathological features. The exclusion of different primary locations is necessary. Once associated with a Zollinger Ellison syndrome, diagnose may be more complicated and challenging since only 7 cases of hepatic carcinoids with gastrin secretion were reported in medical literature.A review of medical literature is performed and diagnoses tools that should be used for an accurate diagnosis and available treatment approaches are commented here.
authors.affiliation: Gastroenterology Unit, Complejo Hospitalario León, c/Altos de Nava s/n, 24071, León, Spain. grascarachi@gmail.com
authors.forename: Gabriela
authors.initials: G
authors.lastname: Rascarachi
authors.forename: Mónica
authors.initials: M
authors.lastname: Sierra
authors.forename: Mercedes
authors.initials: M
authors.lastname: Hernando
authors.forename: Rubén
authors.initials: R
authors.lastname: Diez
authors.forename: Laura
authors.initials: L
authors.lastname: Arias
authors.forename: Francisco
authors.initials: F
authors.lastname: Jorquera
authors.forename: Santiago
authors.initials: S
authors.lastname: Vivas
authors.forename: José Luis
authors.initials: JL
authors.lastname: Olcoz