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Peripancreatic lymph node gastrinoma in a patient with Zollinger-Ellison syndrome

Kahn, H.; Waxman, J.

Mount Sinai Journal of Medicine new York 59(5): 425-428

1992


ISSN/ISBN: 0027-2507
PMID: 1435842
Accession: 032761372

The case of a patient who had Zollinger-Ellison syndrome caused by a primary peripancreatic lymph node gastrinoma is presented. Accompanying diffuse pancreatic islet cell hyperplasia, a well-documented occurrence in hypergastrinemia, was present. A perforated esophageal ulcer in a Barrett's esophagus led to right-sided necrotizing pleuritis, septicemia, and death. The diffuse parathyroid hyperplasia also noted in the patient is thought to be secondary to chronic hypertensive renal failure rather than MEN-I syndrome.

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