case_images: PMC5339521_01
case_images: EGD showing 2 cm deeply cratered ulcer in the second portion of the duodenum, suspicious for ZES.
case_images: CRIGM2017-7636952.001.jpg
case_images: PMC5339521_01_CRIGM2017-7636952.001.jpg
case_images: fig1
case_images: Grade D), diffuse erythematous mucosa throughout the entire stomach, and a 2 cm deeply cratered ulcer in the second portion of the duodenum (D2) (Figure 1). Gastric and duodenal biopsies were consistent with severe, active chronic gastritis and duodenitis without evidence of malignancy.
case_images: Somatostatin receptor scintigraphy (SRS) showing two small foci of moderately intense abnormal radiotracer uptake within the gastrinoma triangle.
case_images: CRIGM2017-7636952.002.jpg
case_images: PMC5339521_01_CRIGM2017-7636952.002.jpg
case_images: fig2
case_images: She subsequently had a SRS scan performed, which revealed two small lesions within the gastrinoma triangle (Figure 2).
case_images: Pathology of pancreatic neuroendocrine tumor with positive staining for gastrin.
case_images: CRIGM2017-7636952.003.jpg
case_images: PMC5339521_01_CRIGM2017-7636952.003.jpg
case_images: fig3
case_images: Pathology of the pancreas returned positive for four microscopic foci (the largest being 0.1 cm) of a well-differentiated neuroendocrine tumor with metastasis to two peripancreatic lymph nodes (Figure 3).