Zollinger-Ellison syndrome is a very
rare disease that's caused by
tumor having
gastrin-producing
cells, and this is accompanied by hypergastrinemia leading to
gastric acid hypersecretion,
peptic ulcer and their
complications. A 60-year-old man presented with epigastric
pain and soreness he had experienced for 7 days. The endoscopic findings showed
reflux esophagitis and multiple active
ulcers at the antrum, the duodenal bulb and the 2nd and 3rd portions of the
duodenum. The
fasting serum gastrin level was markedly elevated above 1,470 pg/mL and this was consistent with the findings of
gastrinoma. We confirmed the presence of
gastrinoma via the
abdomen CT scan and selective intra-arterial
calcium injection. This is the first Korean case
report of
gastrinoma that was localized by selective intra-arterial
calcium injection.