ulcer

Diabetic patient with left hallux ulcer and osteomyelitis , present with extended infection to the dorsum of the foot

More images of the Computerized Tomography Scan.

A 25 year-old otherwise healthy man presented to the emergency department with the sudden onset of severe, sharp mid-epigastric pain approximately 3 hours earlier. Intraoperative photograph of the stomach showing the perforation...

Computerized Tomography Scan. Six year after the total gastrectomy the patient has been stable with no symptoms, the cat scan displays a large mass in the head of the pancreas with no metastases the gastrina level has been elevated...

Gastrinomas are an integral part of the Zollinger-Ellison syndrome (ZES) In fact, ZES is also known as gastrinoma. This syndrome consists of ulcer disease in the upper gastrointestinal tract, marked increases in the secretion of...

Surgically, gastrinomas are often difficult to locate, even with careful inspection. They may be missed in at least 10–20% of patients with ZES. Gastrinomas are sometimes found only because they have metastasized and produced...

Diagnostic imaging techniques help locate the gastrinomas. The most sophisticated is radionuclide octreotide scanning (also known as somatostatin receptor scintigraphy or 111In pentetreotide SPECT.