PMID- 11246362 OWN - NLM STAT- MEDLINE DCOM- 20010830 LR - 20190817 IS - 0192-0790 (Print) IS - 0192-0790 (Linking) VI - 32 IP - 3 DP - 2001 Mar TI - The "serendipitous" surgical cure of the Zollinger-Ellison syndrome in a patient with multiple endocrine neoplasia type 1 despite an unsuspected diagnosis of either disease. PG - 268-71 AB - Zollinger-Ellison syndrome (ZES) is a relatively uncommon disease that usually presents with peptic ulcer disease or refractory diarrhea. It occurs as a component of multiple endocrine neoplasia type 1 (MEN-1) syndrome in more than 25% of cases. Surgical management of MEN-1 ZES remains controversial. In this case report, we describe the serendipitous cure of ZES in a patient with recurrent peptic ulcer disease who underwent two surgical procedures. The diagnosis of MEN-1 ZES syndrome was neither suspected nor recognized during either operation. This case is presented to highlight the important principles in the diagnosis and current management of patients with MEN-1 ZES. FAU - Simeone, D M AU - Simeone DM AD - Department of Surgery, University of Michigan, Ann Arbor 48109, USA. Simeone@umich.edu FAU - Scheiman, J M AU - Scheiman JM FAU - Thompson, N W AU - Thompson NW LA - eng PT - Case Reports PT - Journal Article PL - United States TA - J Clin Gastroenterol JT - Journal of clinical gastroenterology JID - 7910017 SB - IM MH - Humans MH - Male MH - Middle Aged MH - Multiple Endocrine Neoplasia Type 1/*complications/diagnosis MH - Zollinger-Ellison Syndrome/*complications/diagnosis/*surgery EDAT- 2001/03/14 10:00 MHDA- 2001/08/31 10:01 CRDT- 2001/03/14 10:00 PHST- 2001/03/14 10:00 [pubmed] PHST- 2001/08/31 10:01 [medline] PHST- 2001/03/14 10:00 [entrez] AID - 10.1097/00004836-200103000-00022 [doi] PST - ppublish SO - J Clin Gastroenterol. 2001 Mar;32(3):268-71. doi: 10.1097/00004836-200103000-00022.