Angiographic diagnosis of a pancreatic islet tumor in a patient with the WDHA syndrome

Abstract

A patient with an islet cell tumor of the pancreas that produced the watery diarrhea, hypokalemia, achlorhydria (WDHA) syndrome is presented. On celiac angiography an extremely vascular mass was seen in the body of pancreas with hypertrophied arteries and persistent, dense tumor staining.

Dynamic gadolinium-enhanced MR imaging of pancreatic VIPoma in a patient with Verner-Morrison syndrome

“…Except for a central area of hemorrhagic necrosis (arrow), the lesion appears homogeneous at the time of diagnosis [5]. Use of ultrasound, CT, angiography, percutaneous transhepatic portal venous sampling, octreotide scanning, and radiolabeled somatostatin analog scintigraphy all have been suggested in the literature as useful options for these purposes [6,7,8,9,10,11]; however, due to the small number of VIPoma included in each series, no controlled estimation on the accuracy of these modalities is currently available.…”