The "serendipitous" surgical cure of the Zollinger-Ellison syndrome in a patient with multiple endocrine neoplasia type 1 despite an unsuspected diagnosis of either disease
Dm. Simeone et al., The "serendipitous" surgical cure of the Zollinger-Ellison syndrome in a patient with multiple endocrine neoplasia type 1 despite an unsuspected diagnosis of either disease, J CLIN GAST, 32(3), 2001, pp. 268-271
Zollinger-Ellison syndrome (ZES) is a relatively uncommon disease that usua
lly presents with peptic ulcer disease or refractory diarrhea. It occurs as
a component of multiple endocrine neoplasia type 1 (MEN-I) syndrome in mor
e than 25% of cases. Surgical management of MEN-1 ZES remains controversial
. In this case report, we describe the serendipitous cure of ZES in a patie
nt with recurrent peptic ulcer disease who underwent two surgical procedure
s. The diagnosis of MEN-I ZES syndrome was neither suspected nor recognized
during either operation. This case is presented to highlight the important
principles in the diagnosis and current management of patients with MEN-1
ZES.