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Case report: gastrocolic fistula mimicking Zollinger-Ellison syndrome.
Am J Med Sci. 1992 Jun; 303(6):405-6.AJ

Abstract

Fasting serum gastrin levels greater than 1000 pg/ml are said to establish the diagnosis of gastrinoma in a patient with peptic ulcer disease. The authors observed a patient with recurrent peptic ulcer disease, diarrhea, and a fasting serum gastrin of 1044 pg/ml who had a gastrocolic fistula, not the Zollinger-Ellison syndrome. The provocative tests of gastrin secretion, including secretin infusion and standard meal test, were helpful in ruling out a gastrinoma. This is the first reported association of gastrocolic fistula and hypergastrinemia. The patient demonstrates that the differential diagnosis of markedly elevated serum gastrin should be expanded to include gastrocolic fistula.

Authors+Show Affiliations

Department of Medicine, College of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City 73190.No affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

1605171

Citation

Scofield, H, and C E. Kaufman. "Case Report: Gastrocolic Fistula Mimicking Zollinger-Ellison Syndrome." The American Journal of the Medical Sciences, vol. 303, no. 6, 1992, pp. 405-6.
Scofield H, Kaufman CE. Case report: gastrocolic fistula mimicking Zollinger-Ellison syndrome. Am J Med Sci. 1992;303(6):405-6.
Scofield, H., & Kaufman, C. E. (1992). Case report: gastrocolic fistula mimicking Zollinger-Ellison syndrome. The American Journal of the Medical Sciences, 303(6), 405-6.
Scofield H, Kaufman CE. Case Report: Gastrocolic Fistula Mimicking Zollinger-Ellison Syndrome. Am J Med Sci. 1992;303(6):405-6. PubMed PMID: 1605171.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Case report: gastrocolic fistula mimicking Zollinger-Ellison syndrome. AU - Scofield,H, AU - Kaufman,C E, PY - 1992/6/1/pubmed PY - 1992/6/1/medline PY - 1992/6/1/entrez SP - 405 EP - 6 JF - The American journal of the medical sciences JO - Am J Med Sci VL - 303 IS - 6 N2 - Fasting serum gastrin levels greater than 1000 pg/ml are said to establish the diagnosis of gastrinoma in a patient with peptic ulcer disease. The authors observed a patient with recurrent peptic ulcer disease, diarrhea, and a fasting serum gastrin of 1044 pg/ml who had a gastrocolic fistula, not the Zollinger-Ellison syndrome. The provocative tests of gastrin secretion, including secretin infusion and standard meal test, were helpful in ruling out a gastrinoma. This is the first reported association of gastrocolic fistula and hypergastrinemia. The patient demonstrates that the differential diagnosis of markedly elevated serum gastrin should be expanded to include gastrocolic fistula. SN - 0002-9629 UR - https://www.unboundmedicine.com/medline/citation/1605171/Case_report:_gastrocolic_fistula_mimicking_Zollinger_Ellison_syndrome_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-9629(15)35687-1 DB - PRIME DP - Unbound Medicine ER -