centered image

DDx

Discussion in 'Spot Diagnosis' started by J.P.C. Peper, Aug 2, 2012.

  1. J.P.C. Peper

    J.P.C. Peper Bronze Member

    Joined:
    Apr 8, 2012
    Messages:
    875
    Likes Received:
    60
    Trophy Points:
    1,345
    Gender:
    Male
    Occupation:
    Medical student (since 2009)
    Practicing medicine in:
    Netherlands

    What's your diagnosis, based on this (111Indium pentetreotide) scintigraphy?

    The patient has stomach pain and diarrhea.

    I'll post the correct answer in a day or three!

    DDx.jpg
     

    Add Reply
    J.P.C. Peper, Aug 2, 2012
    #1

  2. lakmalDJ

    lakmalDJ Famous Member

    Joined:
    Jun 21, 2012
    Messages:
    223
    Likes Received:
    17
    Trophy Points:
    445
    Gender:
    Male
    Occupation:
    doctor
    Practicing medicine in:
    Sri Lanka
    A Gastrinoma/Zollinger-Ellison syndrome
     

    lakmalDJ, Aug 4, 2012
    #2
  3. J.P.C. Peper

    J.P.C. Peper Bronze Member

    Joined:
    Apr 8, 2012
    Messages:
    875
    Likes Received:
    60
    Trophy Points:
    1,345
    Gender:
    Male
    Occupation:
    Medical student (since 2009)
    Practicing medicine in:
    Netherlands
    Correct answer:

    Yes, it's Zollinger-Ellison syndrome.

    This is the association of peptic ulcers with a gastrin-secreting adenoma. The adenoma is usually found in the pancreas, although it may also arise in the stomach or duodenum. This image shows focal radiotracer uptake in the pancreatic head (arrow), the primary tumor. Note multiple liver metastases.
     

    J.P.C. Peper, Aug 5, 2012
    #3

Share This Page

<