PMID- 21686642 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20111110 LR - 20211020 IS - 1757-790X (Electronic) IS - 1757-790X (Linking) VI - 2009 DP - 2009 TI - The surgical management of pancreaticoduodenal tumours in multiple endocrine neoplasia type 1. LID - bcr08.2008.0763 [pii] LID - 10.1136/bcr.08.2008.0763 [doi] AB - A 48-year-old man was admitted under the care of urologists with acute renal failure and septicaemia secondary to pyelonephritis. Upon investigation, he was found to have renal stone disease secondary to a parathyroid adenoma. Further tests revealed high pituitary hormone and gastrin values, confirming the diagnosis of multiple endocrine neoplasia type 1 (MEN 1) and Zollinger-Ellison syndrome. Soon after this he experienced a series of renal complications due to his renal stone disease and multiple complications of his gastrinoma, including two gastrointestinal perforations and three episodes of significant upper gastrointestinal bleeds (two of which required laparotomies), and a full length oesophageal stricture-all within the span of 9 months. His complications were managed appropriately and the oesophageal stricture was treated with a full length metallic stent. He was discharged home in a reasonably good condition with normal swallowing, but unfortunately died of aspiration pneumonia 3 weeks later. FAU - Thrumurthy, Sri G AU - Thrumurthy SG AD - Lancashire Teaching Hospitals NHS Foundation Trust, Surgery, Preston Road, Chorley PR7 1PP, UK. FAU - Date, Ravindra S AU - Date RS FAU - Mughal, Muntzer M AU - Mughal MM FAU - Pursnani, Kishore G AU - Pursnani KG FAU - Ward, Jeremy B AU - Ward JB LA - eng PT - Journal Article DEP - 20090414 PL - England TA - BMJ Case Rep JT - BMJ case reports JID - 101526291 PMC - PMC3027828 EDAT- 2009/01/01 00:00 MHDA- 2009/01/01 00:01 PMCR- 2011/04/14 CRDT- 2011/06/21 06:00 PHST- 2011/06/21 06:00 [entrez] PHST- 2009/01/01 00:00 [pubmed] PHST- 2009/01/01 00:01 [medline] PHST- 2011/04/14 00:00 [pmc-release] AID - bcr08.2008.0763 [pii] AID - 10.1136/bcr.08.2008.0763 [doi] PST - ppublish SO - BMJ Case Rep. 2009;2009:bcr08.2008.0763. doi: 10.1136/bcr.08.2008.0763. Epub 2009 Apr 14.