[Peripancreatic sporadic gastrinoma].
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.
Rebai
Wael
W
Service de chirurgie A, hôpital de La Rabta, 1007 Jabbari, Tunis, Tunisie.
Ksantini
Rachid
R
Chebbi
Faouzi
F
Makni
Amin
A
Ayadi
Sofiene
S
Daghfous
Amin
A
Fterich
Fadhel
F
Bedioui
Haykal
H
Ammous
Adel
A
Jouini
Mohamed
M
Kacem
Montasser
M
Ben Safta
Zoubeir
Z
D000328:Adult; D015408:Gastrinoma / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D010190:Pancreatic Neoplasms / Q000473:pathology / Q000601:surgery*