title: [Peripancreatic sporadic gastrinoma].
abstract: BACKGROUND
  The peri-pancreatic sporadic gastrinoma represents a paradigm of digestive endocrinology. It was originally an abnormal secretion of gastrin fits the syndrome Zollinger-Ellison.
  
  
  OBJECTIVE
  The objective of our work is to clarify the diagnostic strategy and therapeutic conduct of gastrinoma.
  
  
  METHODS
  We report the case of a patient aged 42 years, hospitalized for bleeding duodenal ulcer, revealed a Zollinger-Ellison syndrome. The different explorations have shown that it was a primitive péripancréatique sporadic gastrinoma. In surgery, we discover a rétropancréatique tumor associated to a stenosis post-bulbar ulcer. It was conducted a enucleation of the tumor with vagotomie troncular and gastroenteroanastomosis. The forecast was favourable with normalization of the values of gastrinémie.
  
  
  CONCLUSIONS
  The sporadic gastrinoma is rare, its emphasis is increasingly being facilitated by the technology of modern medical imaging, belonging to a polyendocrinopathie must be systematic search. Treatment of pancreatic gastrinoma is multidisciplinary. Surgery is the only cure for this disease.
authors.affiliation: Service de chirurgie A, hôpital de La Rabta, 1007 Jabbari, Tunis, Tunisie.
authors.forename: Wael
authors.initials: W
authors.lastname: Rebai
authors.forename: Rachid
authors.initials: R
authors.lastname: Ksantini
authors.forename: Faouzi
authors.initials: F
authors.lastname: Chebbi
authors.forename: Amin
authors.initials: A
authors.lastname: Makni
authors.forename: Sofiene
authors.initials: S
authors.lastname: Ayadi
authors.forename: Amin
authors.initials: A
authors.lastname: Daghfous
authors.forename: Fadhel
authors.initials: F
authors.lastname: Fterich
authors.forename: Haykal
authors.initials: H
authors.lastname: Bedioui
authors.forename: Adel
authors.initials: A
authors.lastname: Ammous
authors.forename: Mohamed
authors.initials: M
authors.lastname: Jouini
authors.forename: Montasser
authors.initials: M
authors.lastname: Kacem
authors.forename: Zoubeir
authors.initials: Z
authors.lastname: Ben Safta
mesh_terms: D000328:Adult; D015408:Gastrinoma / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D010190:Pancreatic Neoplasms / Q000473:pathology / Q000601:surgery*