AN INTERESTING CASE OF ZOLLINGER ELLISON SYNDROME PRESENTING AS PERFORATION PERITONITIS DUE TO JEJUNAL PERFORATION - A CASE REPORT

Dr.K.RAJENDRAN; Dr.G.KAMALIN VIJI

Volume : VIII, Issue : II, February - 2019

AN INTERESTING CASE OF ZOLLINGER ELLISON SYNDROME PRESENTING AS PERFORATION PERITONITIS DUE TO JEJUNAL PERFORATION - A CASE REPORT

Dr. K. Rajendran, Dr. G. Kamalin Viji

Abstract :

Zollinger Ellison syndrome or Strom–Zollinger Ellison syndrome is a rare disorder which is triad of gastric acid hypersecretion , severe peptic ulceration , and non –beta islet cell tumor of pancreas (gastrinoma). A 25 year old male patient presented with complaints of abdominal pain and vomiting revealed perforative peritonitis on examination. Emergency laparotomy was done. Intraoperatively a huge mass lesion of size 10 x 5 x 3 cm was found within the space between left lobe of the liver and lesser curvature of the stomach. The right lobe of the liver had undergone a tumorous transformation with a mass of size 8 x 5 cm. Also multiple target lesions were present in the right lobe of the liver. A 0.5 x 0.5 cm perforation in the jejunum , 5 cms from the duodeno–jejunal flexure was observed. Perforation closure and biopsy from the lesion was done. Post operative period was uneventful.