Surgical treatment of pancreatic vasoactive intestinal polypeptide-secreting tumor: A case report

A 68-year-old woman presented with secretory watery diarrhea causing hypoka limia, hypoalbuminemia and dehydration for 5 years. Subsequent investigatio ns including abdominal ultrasonography and computed tomography scanning rev ealed a mass measuring 7x6cm in the pancreatic tail. The diagnosis of pancr eatic VIPomas was suspected on the basis of clinical symptoms. The patient underwent distal pancreatectomy and splenectomy after resuscitation of elec trolyte imbalance, dehydration and malnutrition. The pathological examinati on with histoimmunochemical stain confirmed the diagnosis. Postoperative co urse is uneventful and the patient does not have symptoms any longer during the follow-up period.