Primary hepatic gastrinoma:Report of a case and review of literature  

作　　者：Konstantinos Tsalis Georgios Vrakas Stergios Vradelis Abraham Dimoulas Maria Pilavaki StilianiPa paemmanouil Anastasia Micheli Charalampos Lazarides Georgios Kartalis 

机构地区：[1]Fourth Surgical Department,Aristotle University [2]Firs Department of Internal Medicine,Democritus University of Thrace [3]Radiology Department,‘G.Papanikolaou’Hospital [4]Pathology Department,‘G.Papaniko-laou’Hospital

出　　处：《World Journal of Gastrointestinal Pathophysiology》2011年第2期26-30,共5页世界胃肠病理生理学杂志（英文版）（电子版）

摘　　要：Primary hepatic gastrinoma is a very rare ectopic gastrinoma with less than 20 cases reported worldwide. We report the case of a patient with hypergastrinemia who was subjected to exhaustive preoperative and intraoperative imaging and also careful surgical exploration of the duodenum and pancreas which failed initially to identify the primary tumour. Eventually the patient was subjected to left liver lobectomy,as a small palpable lesion was noted intraoperatively. The diagnosis of gastrinoma requires a high index of clinical suspicion and the flawless cooperation of many specialties.Primary hepatic gastrinoma is a very rare ectopic gastrinoma with less than 20 cases reported worldwide. We report the case of a patient with hypergastrinemia who was subjected to exhaustive preoperative and intraoperative imaging and also careful surgical exploration of the duodenum and pancreas which failed initially to identify the primary tumour. Eventually the patient was subjected to left liver lobectomy, as a small palpable lesion was noted intraoperatively. The diagnosis of gastrinoma requires a high index of clinical suspicion and the flawless cooperation of many specialties.

关 键 词：PRIMARY HEPATIC GASTRINOMA Zollinger-Ellison SYNDROME 

分 类 号：R657.3[医药卫生—外科学]