A 7-YEAR-OLD CHILD WITH PRIMARY TUMOR-LOCALIZATION IN THE DISTAL DUODENUM - NEW IMAGING PROCEDURES FOR AN IMPROVED DIAGNOSIS

Duodenal gastrinomas in childhood are extremely rare and often missed at first medical consultation. We report on a 7-year-old child with sp oradic gastrinoma of primary localisation in the distal duodenum. Smal l metastases in the liver and regional nodes were detected pre-operati vely by somatostatin receptor scintigraphy (SRS) but not by other conv entional imaging procedures. Diagnostic procedures include preoperativ e SRS, endoscopic ultrasound and intra-operative endoscopic transillum ination. Conclusion Gastrinomas are rare abdominal tumours in childhoo d. Pre-operative tumour-specific diagnosis is possible by (111)indium pentreotide SRS.