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Arab Journal of Gastroenterology. 2011; 12 (2): 106-108
em Inglês | IMEMR | ID: emr-123885

RESUMO

In this case report we describe a case of mediastinal ganglioneuroblastoma-secreting vasoactive intestinal peptide [VIP], causing secretory diarrhoea in an 18-month-old child. An 18-month-old girl presented with a 2-month history of diarrhoea, abdominal distension and weight loss. Investigations revealed secretory diarrhoea with hypokalaemia, hyponatraemia and hypochloraemia and metabolic acidosis. Her stool output was 2.5-3.1 day[-1] with increased stool sodium. VIP levels were strikingly high with normal glucagon and gastrin levels. X-ray of the chest revealed a well-defined mass in the right upper zone with tracheal shift, which was confirmed with computed tomography [CT] of the chest. The mass was resected and the patient became asymptomatic. This case shows that secretory diarrhoea caused by VIP and produced by ganglioneuroblastoma indicates a favourable prognosis, provided it is resectable


Assuntos
Humanos , Feminino , Neoplasias do Mediastino , Diarreia/etiologia , Peptídeo Intestinal Vasoativo , Ganglioneuroblastoma/cirurgia , Hipopotassemia
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