A Pancreatic Polypeptide-Producing Pancreatic Tumor Causing WDHA Syndrome

Autor: Vera Amrilleva, Emily P. Slater, Jens Waldmann, Dorothee Bonorden, Volker Fendrich
Jazyk: angličtina
Rok vydání: 2008
Předmět:
Zdroj: Case Reports in Gastroenterology, Vol 2, Iss 2, Pp 238-243 (2008)
Druh dokumentu: article
ISSN: 1662-0631
00014273
DOI: 10.1159/000142739
Popis: We report the case of a 46-year-old female patient with WDHA (watery diarrhea/hypokalemia/achlorhydria) syndrome caused by a pancreatic polypeptide-producing tumor in the head of the pancreas. Whereas VIP and other pancreatic endocrine hormones were in the normal range, only serum levels of pancreatic polypeptide were elevated. Imaging studies identified a pancreatic tumor in the head of the gland. After laparotomy, the tumor of 3 cm in size was enucleated. Final pathology documented a pancreatic endocrine tumor with immunohistochemical staining demonstrating the presence of pancreatic polypeptide. The patient remained cured after a follow-up of more than three years. The present case illustrates that, although rare, WDHA syndrome may be associated with a pancreatic polypeptide-secreting endocrine tumor of the pancreas.
Databáze: Directory of Open Access Journals