title: Incidental Diagnosis of MEN1 Syndrome in a Pediatric Patient Presenting With Obstructive Jaundice and Abdominal Pain.
abstract: A 16-year-old adolescent boy presented with obstructive jaundice and was incidentally found to have a well-differentiated pancreatic endocrine neoplasm upon endoscopic ultrasound. The discovery of this tumor led to further investigation and the eventual diagnosis of MEN1 syndrome. The diagnosis of MEN1 can prove difficult, and lack of treatment has been shown to lead to early mortality. One must maintain clinical suspicion for this disease in the evaluation of patients presenting with suspicious lesions of unknown etiology, especially those involving the pancreas, anterior pituitary, and parathyroid glands.
authors.affiliation: Department of Internal Medicine, Wake Forest School of Medicine, Winston Salem, NC.
authors.forename: Jason D
authors.initials: JD
authors.lastname: Jones
authors.affiliation: Department of Internal Medicine, Wake Forest School of Medicine, Winston Salem, NC.
authors.forename: Brent
authors.initials: B
authors.lastname: Cengia
authors.affiliation: Department of Gastroenterology, Wake Forest School of Medicine, Winston Salem, NC.
authors.forename: Jason
authors.initials: J
authors.lastname: Conway
authors.affiliation: Department of Gastroenterology, Wake Forest School of Medicine, Winston Salem, NC.
authors.forename: Rishi
authors.initials: R
authors.lastname: Pawa