Carcinoid syndrome misdiagnosed as a malabsorptive syndrome after biliopancreatic diversion

A case is reported of a woman who developed untreat- able diarrhea after a prior biliopancreatic diversion (BPD), attributed to the malabsorptive component. Abdominal ultrasound incidentally found focal liver lesions. On fine needle aspiration biopsy, atypia was found, and these hepatic lesions were...

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Detalles Bibliográficos
Autores: Arteaga González, Iván Jesús, López-Tomassetti Fernández, E. M., Díaz Luis, H., Carrillo Pallarés, Ángel
Tipo de recurso: artículo
Fecha de publicación:2007
País:España
Institución:Universidad de La Laguna (ULL)
Repositorio:RIULL. Repositorio Institucional de la Universidad de La Laguna
OAI Identifier:oai:riull.ull.es:915/40985
Acceso en línea:http://riull.ull.es/xmlui/handle/915/40985
Access Level:acceso abierto
Palabra clave:Morbid obesity
bariatric surgery
biliopancreatic diversion
neuroendocrine cancer
carcinoid syndrome
liver metastases
cancer
Descripción
Sumario:A case is reported of a woman who developed untreat- able diarrhea after a prior biliopancreatic diversion (BPD), attributed to the malabsorptive component. Abdominal ultrasound incidentally found focal liver lesions. On fine needle aspiration biopsy, atypia was found, and these hepatic lesions were resected with free margins. The specimen showed liver metastases of an aggressive malignant neuroendocrine neo- plasm. The primary site was subsequently identified to be in the pancreas. The physician and surgeon must realize that non-related diseases can develop after bariatric surgery, as in the general population.