Affordable Access

[Rare occurrence of fulminant acid burn of the esophagus].

Authors
Type
Published Article
Journal
Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen
Publication Date
Volume
79
Issue
8
Pages
765–770
Identifiers
PMID: 17879075
Source
Medline
License
Unknown

Abstract

Peptic ulcer due to Zollinger-Ellison syndrome is a rare entity. In this case report a 55-year-old man had a medical history of esophageal reflux, vomiting, and diarrhea for 10 years. Despite continuous medication with a proton pump inhibitor, no complete recovery from symptoms was achieved. A diagnosis of gastrinoma was at first not considered. After discontinuation of the proton pump inhibitor for only a few days, the strong stimulation of the gastrinoma led to fulminant hydrochloric acid burn of the distal esophagus with iatrogenic or spontaneous perforation at the esophagogastral junction. We describe the operative treatment as a two-stage reconstruction with colon interposition and resection of the primary tumor in the duodenum.

Statistics

Seen <100 times