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RADIOLOGY: PANCREAS: Case# 32807: GASTRINOMA - +OCTREOTIDE. 50-year-old female with a 10 year history of Zollinger-Ellison disease which has been controlled. Patient has had a sudden onset of bleeding jejunal ulcers. 1. Enhancing lesion as described above in the area of the uncinate process anterior to the lower pole of the kidney which corresponds to an increased uptake of an octreotide scan. These findings are consistent with a gastrinoma in a patient with a known Zollinger- Ellison syndrome. 2. Heterogeneous uterus with prominent cervix. These findings are nonspecific. Recommend clinical correlation. 3. Diffusely thickened gastric mucosa and folds consistent with 10 year history of hypersecretion of gastrin. 4. Mild intra- and extrahepatic biliary ductal dilatation as described above. Etiology is unclear.

Peter Anderson
pancreas, radiology