title: Case report: recurrent acute pancreatitis secondary to papillary somatostatinoma--a new association.
abstract: Acute pancreatitis may rarely be caused by papillary mass lesions such as adenocarcinomas and neuroendocrine tumours. Occasionally these papillary lesions may cause recurrent episodes of acute pancreatitis and patients presenting in this way require further pancreatic investigation. We believe this to be the first reported case of a duodenal papillary somatostatinoma causing recurrent acute pancreatitis. The patient was investigated with multiple imaging modalities, both at endoscopy and with more traditional radiology, and treated with resection by Whipple's pancreaticoduodenectomy. If diagnosed early in the absence of distant metastases the prognosis of papillary somatostatinoma with tumour resection is excellent.
authors.affiliation: Department of Gastroenterology, Royal Berkshire Hospital, London Road, Reading RG1 5AN, United Kingdom.
authors.forename: Tim
authors.initials: T
authors.lastname: Ambrose
authors.forename: Tim J
authors.initials: TJ
authors.lastname: Stephenson
authors.forename: Jonathan
authors.initials: J
authors.lastname: Booth
authors.forename: Nishchay
authors.initials: N
authors.lastname: Chandra
mesh_terms: D000328:Adult; D006801:Humans; D008297:Male; D010190:Pancreatic Neoplasms / Q000150:complications* / Q000175:diagnosis* / Q000473:pathology; D010195:Pancreatitis / Q000209:etiology* / Q000473:pathology; D012008:Recurrence; D013005:Somatostatinoma / Q000150:complications* / Q000175:diagnosis* / Q000473:pathology