Watery diarrhea, hypokalemia, achlohydria syndromeを呈した膵vasoactive intestinal polypeptide産生腫瘍の1切除例

• 廣瀬 淳史

  金沢大学消化器・乳腺・移植再生外科

• 田島 秀浩

  金沢大学消化器・乳腺・移植再生外科

• 牧野 勇

  金沢大学消化器・乳腺・移植再生外科

• 林 泰寛

  金沢大学消化器・乳腺・移植再生外科

• 中川原 寿俊

  金沢大学消化器・乳腺・移植再生外科

• 高村 博之

  金沢大学消化器・乳腺・移植再生外科

• 北川 裕久

  金沢大学消化器・乳腺・移植再生外科

• 谷 卓

  金沢大学消化器・乳腺・移植再生外科

• 藤村 隆

  金沢大学消化器・乳腺・移植再生外科

• 太田 哲生

  金沢大学消化器・乳腺・移植再生外科

書誌事項

タイトル別名

• A Resected Case of Pancreatic VIPoma

抄録

A 62-year-old man admitted to another hospital suffered severe diarrhea, high blood sugar and hyperketonemia in December 2010. He had been treated for diabetes for 10 years and deformation of the pancreas was pointed out in 2007. After various examinations, pancreatic VIPoma with a metastatic lesion in the liver was diagnosed and he was transferred to our hospital in January 2011. Although it was possible to control electrolytes and dehydration, watery diarrhea could not be controlled. Our examinations further revealed concurrent cholecystolithiasis and choledocolithiasis, thus we decided to treat surgically. In early February, distal pancreatectomy with splenectomy, partial hepatectomy, cholecystectomy and choledocolithotomy were performed. Diarrhea reduced after the tumor resection and stopped on the first postoperative day. Serum VIP levels declined significantly after three hours from resection, and hyperglycemia, face flushing and hypercalcemia improved by the third post operation day.

収録刊行物

• 日本消化器外科学会雑誌

  日本消化器外科学会雑誌 45 (12), 1194-1201, 2012

  一般社団法人 日本消化器外科学会

キーワード

• pancreas
• endocrine cell carcinoma
• VIPoma

詳細情報

• CRID: 1390282679896415872
• NII論文ID: 130004560781
• DOI: 10.5833/jjgs.45.1194
• ISSN: 13489372
• ISSN: 03869768
• Web Site: https://www.jstage.jst.go.jp/article/jjgs/45/12/45_45.1194/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2013118057
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可