Duodenal gastrinomas in childhood are extremely rare and often missed at first medical consultation. We report on a 7-year-old child with sporadic gastrinoma of primary localisation in the distal duodenum. Small metastases in the liver and regional nodes were detected pre-operatively by somatostatin receptor scintigraphy (SRS) but not by other conventional imaging procedures. Diagnostic procedures include pre-operative SRS, endoscopic ultrasound and intra-operative endoscopic transillumination.
Conclusion Gastrinomas are rare abdominal tumours in childhood. Pre-operative tumour-specific diagnosis is possible by 111indium pentreotide SRS.
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Received: 9 May 1996 / Accepted: 21 October 1996
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Cholewa, D., Waldschmidt, J., Hoffmann, K. et al. A 7-year-old child with primary tumour localisation in the distal duodenum – new imaging procedures for an improved diagnosis. Eur J Pediatr 156, 568–571 (1997). https://doi.org/10.1007/s004310050665
- Key words Metastatic duodenal gastrinoma
- Somatostatin receptor scintigraphy