| A case of Zollinger-Ellison syndrome: localization of gastrinoma by selective intra-arterial calcium injection |
|
Hong Seok Song, Jeong Jo Jeong, Kyung Sup Song, Eun Jung Jeon, Byoung Soo Jie, Yeon Joo Chun, Sang Wook Choi |
|
고려대학교 의과대학 내과학교실 |
| 증례 : 선택적 동맥내 칼슘주입법으로 진단된 Zollinger-Ellison 증후군 1예 |
|
송홍석, Jeong Jo Jeong, Kyung Sup Song, Eun Jung Jeon, Byoung Soo Jie, Yeon Joo Chun, Sang Wook Choi |
|
|
|
|
|
|
| Abstract |
|
Zollinger-Ellison syndrome is a very rare disease that's caused by tumor having gastrin-producing cells, and this is accompanied by hypergastrinemia leading to gastric acid hypersecretion, peptic ulcer and their complications. A 60-year-old man presented with epigastric pain and soreness he had experienced for 7 days. The endoscopic findings showed reflux esophagitis and multiple active ulcers at the antrum, the duodenal bulb and the 2nd and 3rd portions of the duodenum.
The fasting serum gastrin level was markedly elevated above 1,470 pg/mL and this was consistent with the findings of gastrinoma. We confirmed the presence of gastrinoma via the abdomen CT scan and selective intra-arterial calcium injection. This is the first Korean case report of gastrinoma that was localized by selective intra-arterial calcium injection.(Korean J Med 72:529-535, 2007)
Key Words : Zollinger-Ellison syndrome, Gastrinoma, Selective intra-arterial calcium injection |
| Key Words:
Zollinger-Ellison syndrome, Gastrinoma, Selective intra-arterial calcium injection |
|
PDF Links
Full text via DOI
Download Citation
