Large primary hepatic gastrinoma in young patient treated with trisegmentectomy: A case report and review of the literature  

作　　者：Leonardo Zumerkorn Pipek Yuri Justi Jardim Gustavo Heluani Antunes de Mesquita Fernanda Nii Kayo Augusto de Almeida Medeiros Bárbara Justo Carvalho Diego Ramos Martines Leandro Ryuchi Iuamoto Daniel Reis Waisberg Luiz Augusto Carneiro D'Albuquerque Alberto Meyer Wellington Andraus 

机构地区：[1]Faculdade de Medicina FMUSP, Universidade de Sa?o Paulo [2]Program in Global Surgery and Social Change, Department of Global Health and Social Medicine, Harvard Medical School [3]Departamento de Gastroenterologia, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo

出　　处：《World Journal of Hepatology》2018年第7期517-522,共6页世界肝病学杂志（英文版）（电子版）

摘　　要：Primary hepatic gastrinoma is a rare disease, with fewer than 40 cases reported in the medical literature. Because it is located in an organ in which metastases are common, its diagnosis is difficult. We report a case of a 19 years old male patient with a history of gastric ulcers since the age of nine. Following gastric surgery, an antrectomy and a vagotomy, there was some alleviation of symptoms. Subsequently, the patient reported various intermittent episodes of diarrhea, diffuse abdominal pain, and vomiting. The patient underwent tomography, which revealed the presence of a hepatic mass measuring 19.5 cm × 12.5 cm × 17 cm. Primary hepatic gastrinoma was diagnosed based on laboratory examinations that indicated hypergastrinemia and a positron emission tomography/magnetic resonance study with somatostatin analogue that confirmed the liver as the primary site. After hepatic trisegmentectomy(Ⅱ, Ⅲ, Ⅳ, Ⅴ, Ⅷ), the patient's symptoms improved. The case is notable for the presence of a rare tumor with uncommon dimensions.Primary hepatic gastrinoma is a rare disease, with fewer than 40 cases reported in the medical literature. Because it is located in an organ in which metastases are common, its diagnosis is difficult. We report a case of a 19 years old male patient with a history of gastric ulcers since the age of nine. Following gastric surgery, an antrectomy and a vagotomy, there was some alleviation of symptoms. Subsequently, the patient reported various intermittent episodes of diarrhea, diffuse abdominal pain, and vomiting. The patient underwent tomography, which revealed the presence of a hepatic mass measuring 19.5 cm × 12.5 cm × 17 cm. Primary hepatic gastrinoma was diagnosed based on laboratory examinations that indicated hypergastrinemia and a positron emission tomography/magnetic resonance study with somatostatin analogue that confirmed the liver as the primary site. After hepatic trisegmentectomy(Ⅱ, Ⅲ, Ⅳ, Ⅴ, Ⅷ), the patient's symptoms improved. The case is notable for the presence of a rare tumor with uncommon dimensions.

关 键 词：GASTRINOMA Primary hepatic gastrinoma Zollinger-Ellison syndrome Hepatic trisegmentectomy Gastric surgery 

分 类 号：R[医药卫生]