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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

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    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
     

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  2. lakmalDJ

    lakmalDJ Famous Member

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    A Gastrinoma/Zollinger-Ellison syndrome
     


  3. J.P.C. Peper

    J.P.C. Peper Bronze Member

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    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.
     


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