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Nonfunctioning pancreatic endocrine tumor presenting with hemorrhage from isolated gastric varices.
Am Surg. 2005 Dec; 71(12):1027-30.AS

Abstract

Hemorrhage from gastric varices due to left-sided portal hypertension is an unusual presentation for pancreatic endocrine tumor. A case of pancreatic endocrine tumor presenting with gastric variceal hemorrhage secondary to left-sided portal hypertension associated with splenic vein occlusion is presented. A 53-year-old man with hemorrhage from isolated gastric varices was referred to our hospital. Laboratory studies revealed normal liver function. Surveys to identify the cause of gastric varices by an abdominal CT, MRCP, and abdominal angiography revealed splenic vein occlusion secondarily attributed to the pancreatic tail tumor and splenomegaly. The pancreatic tumor was suspected to be a resectable endocrine tumor. A distal pancreatectomy, splenectomy, partial resection of the gastric fundus, and limited lymph node dissection were performed. By the histological examination, the diagnosis of nonfunctioning pancreatic endocrine tumor with malignant potential was determined. Three years after the surgery, the patient is doing well and reveals no sign of recurrence. In this case, the unusual presentation for pancreatic endocrine tumors such as a gastric variceal hemorrhage had an advantage that led to early presentation prior to the development of metastases with possible curative surgery.

Authors+Show Affiliations

Department of Surgery, Rakuwakai-Otowa Hospital, Kyoto, Japan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

16447473

Citation

Yamaguchi, Tetsuya, et al. "Nonfunctioning Pancreatic Endocrine Tumor Presenting With Hemorrhage From Isolated Gastric Varices." The American Surgeon, vol. 71, no. 12, 2005, pp. 1027-30.
Yamaguchi T, Takahashi H, Kagawa R, et al. Nonfunctioning pancreatic endocrine tumor presenting with hemorrhage from isolated gastric varices. Am Surg. 2005;71(12):1027-30.
Yamaguchi, T., Takahashi, H., Kagawa, R., Takeda, R., Sakata, S., Yamamoto, M., & Iwasa, Y. (2005). Nonfunctioning pancreatic endocrine tumor presenting with hemorrhage from isolated gastric varices. The American Surgeon, 71(12), 1027-30.
Yamaguchi T, et al. Nonfunctioning Pancreatic Endocrine Tumor Presenting With Hemorrhage From Isolated Gastric Varices. Am Surg. 2005;71(12):1027-30. PubMed PMID: 16447473.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Nonfunctioning pancreatic endocrine tumor presenting with hemorrhage from isolated gastric varices. AU - Yamaguchi,Tetsuya, AU - Takahashi,Hiroshi, AU - Kagawa,Ryuzaburo, AU - Takeda,Ryoji, AU - Sakata,Shingo, AU - Yamamoto,Michihiro, AU - Iwasa,Yoko, PY - 2006/2/2/pubmed PY - 2006/2/24/medline PY - 2006/2/2/entrez SP - 1027 EP - 30 JF - The American surgeon JO - Am Surg VL - 71 IS - 12 N2 - Hemorrhage from gastric varices due to left-sided portal hypertension is an unusual presentation for pancreatic endocrine tumor. A case of pancreatic endocrine tumor presenting with gastric variceal hemorrhage secondary to left-sided portal hypertension associated with splenic vein occlusion is presented. A 53-year-old man with hemorrhage from isolated gastric varices was referred to our hospital. Laboratory studies revealed normal liver function. Surveys to identify the cause of gastric varices by an abdominal CT, MRCP, and abdominal angiography revealed splenic vein occlusion secondarily attributed to the pancreatic tail tumor and splenomegaly. The pancreatic tumor was suspected to be a resectable endocrine tumor. A distal pancreatectomy, splenectomy, partial resection of the gastric fundus, and limited lymph node dissection were performed. By the histological examination, the diagnosis of nonfunctioning pancreatic endocrine tumor with malignant potential was determined. Three years after the surgery, the patient is doing well and reveals no sign of recurrence. In this case, the unusual presentation for pancreatic endocrine tumors such as a gastric variceal hemorrhage had an advantage that led to early presentation prior to the development of metastases with possible curative surgery. SN - 0003-1348 UR - https://www.unboundmedicine.com/medline/citation/16447473/Nonfunctioning_pancreatic_endocrine_tumor_presenting_with_hemorrhage_from_isolated_gastric_varices_ L2 - https://journals.sagepub.com/doi/10.1177/000313480507101208?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -