Pai P R, Shahani R B, Shah H K, Dalvi A N, Samsi A B, Vora I M
Dept of Surgery, Seth GS Medical College, Parel, Bombay, Maharashtra.
J Postgrad Med. 1992 Oct-Dec;38(4):210-1, 207.
Extrapancreatic gastrinoma is a rare clinical entity encountered in surgical practice. A patient was referred to us who had a history of recurring symptoms of peptic ulcer disease and ulcer perforation located at an unusual site. Serum gastrin levels were abnormally high. Scopy revealed multiple ulcers in the antrum and duodenum. A mass superior to the head of the pancreas was detected on USG, which later on found to be a separate mass on CT scan. The tumour was excised and confirmed on histopathology. Results of conservative surgery were found to be satisfactory.
胰腺外胃泌素瘤是外科实践中罕见的临床病症。一位有消化性溃疡病复发症状及不寻常部位溃疡穿孔病史的患者被转诊至我们这里。血清胃泌素水平异常升高。内镜检查发现胃窦和十二指肠有多处溃疡。超声检查发现胰腺头部上方有一个肿块，后来CT扫描显示这是一个独立的肿块。肿瘤被切除，并经组织病理学证实。保守手术的结果令人满意。
