结核病导致的伴有十二指肠狭窄的假性佐林格-埃利森综合征  

Pseudo Zollinger-Ellison syndrome in a patient with duodenal stenosis caused by tuberculosis

作　　者：Rautou P. -E. Corcos O. Hammel P. 成虹(译) 郑世成(校) 

机构地区：[1]不详 [2]Federation Medico-Chirurgicale d'Hepato- Gastroenterologie, Hopital Beaujon, 92 110 Clichy

出　　处：《世界核心医学期刊文摘（胃肠病学分册）》2006年第6期24-25,共2页Core Journals in Gastroenterology

摘　　要：We report the case of a 32-year-old Indian man with symptoms suggesting Zollinger-Ellison syndrome including abdominal pain, esaphagitis, duodenal stenosis that did not improve with antisecretory medication, elevated fasting gastrin serum levels that increased after intravenous secretin injections, elevated chromogranin A serum levels and tumoral aspect of pancreatic uncus on CT scan examination. A pancreaticoduodenectomy was performed. Histological examination of the resected specimen showed that there was no endocrine tumour of the pancreas or the duodenum, but identified marked lesions of follicular and caseous tuberculosis. The final diagnosis retained pseudo Zollinger-Ellison syndrome due to gastric outlet obstruction caused by duodenal stenosis of a tuberculosis origin.We report the case of a 32-year-old Indian man with symptoms suggesting Zollinger-Ellison syndrome including abdominal pain, esaphagitis, duodenal stenosis that did not improve with antisecretory medication, elevated fasting gastrin serum levels that increased after intravenous secretin injections, elevated chromogranin A serum levels and tumoral aspect of pancreatic uncus on CT scan examination. A pancreaticoduodenectomy was performed. Histological examination of the resected specimen showed that there was no endocrine tumour of the pancreas or the duodenum, but identified marked lesions of follicular and caseous tuberculosis. The final diagnosis retained pseudo Zollinger-Ellison syndrome due to gastric outlet obstruction caused by duodenal stenosis of a tuberculosis origin.

关 键 词：十二指肠狭窄 结核病变 综合征 假性 血清嗜铬粒蛋白A 胰十二指肠切除术 血清胃泌素 胰腺钩突部 肿瘤样病变 组织学检查 

分 类 号：R656.64[医药卫生—外科学] R521.7[医药卫生—临床医学]