Islet cell carcinoma of the pancreas presenting as bleeding from isolated gastric varices
- 1 February 1991
- journal article
- case report
- Published by Springer Nature in Digestive Diseases and Sciences
- Vol. 36 (2) , 241-244
- https://doi.org/10.1007/bf01300765
Abstract
Gastrointestinal hemorrhage from left-sided portal hypertension and gastric varices is an unusual presentation for islet cell carcinoma of the pancreas. Islet cell tumors of the pancreas themselves are rare. They present in a variety of ways. Those that elaborate functional hormones cause specific neuroendocrine syndromes. Nonfunctional tumors characteristically present later with symptoms of metastatic disease or as a result of local enlargement. We present a case of islet cell carcinoma of the pancreas presenting with recurrent gastrointestinal bleeding from gastric varices and review the literature for this rare presentation. We emphasize the importance of a careful initial diagnostic work-up that may enable curative surgery.Keywords
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