A Surgical Case of Duodenal Gastrinoma which was Located by Selective Arterial Calcium Injection Test

Abstract

A 49-year-old woman was found to have multiple duodenal ulcer scars by upper gastrointestinal endoscopy at another hospital. Her serum gastrin level was elevated and she was admitted to our hospital. In our hospital, upper gastrointestinal endoscopy revealed a submucosal tumor in the descending duodenum. Abdominal CT and selective arterial calcium injection test were performed for locating gastrinoma. In the result of these examinations, the gastrinoma was diagnosed as being located in the descending duodenum. We performed a pylorus-preserving pancreaticoduodenectomy. Postoperative course was uneventful, and her serum gastrin level normalized. She was discharged on the postoperative day 34, and is alive without recurrence 3 years after surgery. We report a surgical case of the duodenal gastrinoma with some bibliographical comments.